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GENERAL PERMIT N4 99 i 3 <br />CITY OF ORONO yJ <br />PO Itt1\IKt I),Ile <br />CRYSTAL. NAY. MI\NI:SOTA 4:323 <br />16121 471.7.157 / <br />O\vner <br />Cmtra►ytx Lt�1-_i,.11�� — Addres _� <br />City <br />REMARKS AND SPECIAL CONDITIONS <br />4 ;51 c�K'. ��— <br />PFRMrr TYPE AND FEE - <br />in". Pltlmhing wrixturm —1 <br />Nater Wttr (Sm. _ —) <br />deter 1• ____ <br />Remole a _ <br />Munlalul Wim Ctxim+�tKxt <br />C-1 (oplx r ❑ <br />MUnILIPW tievltr Connection <br />❑ I'VC ❑ cav ❑ _ <br />%IWC(' SAC Chalpe <br />On Site %rdil: S%mcm <br />ACKNOW I.EDGI AIF N I <br />or <br />❑ ADDIFTION <br />O REPAIR <br />Fee S <br />—_ <br />dater Well <br />Fee S _ <br />%inhanicil I.'yulpment <br />Fueplatr, 1liftkl Sloe <br />NIming Lilting Bwklmg\ <br />rte S _ _ <br />— - - - <br />Iand Aherution (Fwa\auon. <br />Grading. Filling, Lw I <br />Dogn Re\fe\\ <br />Fee S <br />Fm S — <br />Fm S — <br />the umk wmd M,rM a1n.rLJry. a..•ry .t tM. I:mrad Irrmn <br />�ml.d.w .4 all gnul utl.nruua rem. .�+�Inr.n .. <br />rrµun-mm. ratan Ah.,, IM nmkiwm,i unie.unJ• aril afnv- <br />unkr rrtuh. i i 4 r 0.1 Ih.,rr and 1, 41% 11% Wnuk d In v. IT b - ler w •1 <br />-. n.m .p�di..t. Out II.. pmw .L., n.d frna am <br />AW. nt. r. .► r. wl.. w tr. 0r.11.4-1 try �ptfaa Lyme aMt..ta1• atrl <br />dYl the Irrmd J... m. frim ...IN.r:. 1'.. MdaY aM I,n r r.r w.4 ant 1 n. <br />.wkwn..r Wt 4w urk• to nTullerw \II r..1 .hadh d•w to •uYl <br />a.en(tun.. rgh aB l'd..kI"Unr ...h awl .. h -Ah <br />Jnumm,-1 pjrl{ataw. awl Jut h- .J•rat a. m.pltrm at7.••..1 �• <br />rgntaw In 1% t dt MMY.., .....k+wl Ile nak"W" Mm` r.• <br />..M at ana r..t 4ww11. � M M ar tatM.l � I tk .I.atb R .� It11.,tltttarl <br />*. ruiurc 4 Applltant a <br />❑ RFJNODE_3O, 0l <br />vV <br />Fee S <br />Fee S — <br />Fee S <br />Spnoklcr Syacm (File) <br />- <br />:Uttr-the•t:kt In%r%1iptiun <br />Fee S <br />rw S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />TarAr <br />Sute Surcharge: Fee S ,_ 5 <br />Gaal Anumnl Paid to CIH' I -cc S <br />Thi, permit is nit \ slid until the Proper ke is paid and it is approved <br />b% an autlimtre l City Official. <br />S*nmuns )ony Official <br />C,,Jr %hW FJt; Q" (.Arum Nn► t -rkr Cmw CnM ,(gVbC et't ittcte P <br />