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PERMIT <br />CITY OF ORONO PERMIT TYPE: SEWER h WATER <br />1335 Brown Rd South • P O Box 66 Permit Number 000696 <br />Crystal Bay. Minnesota 55323 Date Issued 0 00696 ii <br />1612) 473-7357 <br />SITE ADDRESS: <br />3780 BAYSIDE RD <br />Sewer h Water Permit Type WELL <br />Sewer b Water Work Type REPLACE EXISTING <br />FEE SUMMARY: <br />Base Fee $.00 <br />Surcharge ---------- 5-59 <br />Subtotal $.50 <br />CONTRACTOR: <br />-- Applicant -- <br />STEVENS WELL DRILLING CO 44792591 <br />6240 HWY 12 W <br />YAOI C of AIAI MAI ccQC0 <br />H <br />WELL --------$:4_44 <br />Total Fee $30.50 <br />OWNER: <br />ANDERSON HAZEL <br />.780 BAYSIDE RD <br />PMV CTAT GAV MAI <br />AE:ANDON WELL AND DRILL NEW WELL - SITE MUST VE OK'D BY CITY STAFF <br />SEND COPY OF STATE WELL RECORD <br />THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS <br />L SPECIFIED AND AGREES TO 00 ALL WORK IN STRICT COMPLIANCE WIT14 ALL CITY OF <br />ORONO ORDINAN ND STATE OF MINNESOTA E:UILDING (UDE RE4UI'EMENT- <br />_ _ � .�� _ __ �I �l lisc7 9ATaURE <br />PPLICANT PERMITEE SIGNATURE ISSUED BYG <br />