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TYoi <br />Crystal Bay. Minnesota 55323 <br />building & zoning - 4 ■ 3- 35 < <br />assessing^----_:^^^^r7-b37^drc-ertific^ <br />cir.if <br />f,.S":r.shop approval period. <br />,U applications are suPi ^ ^ ^ <br />- Business or <br />2 Business address --------- ' ^ TZ <br />a.___^ ^ c J ___nhnne AO <br />Business address O! ^ /<r7P~S^8 <br />Business phone ............. ...........Business pnon® c2.ci -------------------- <br />Bane of applicant °r company ^a^ese^n»tiWe^^- - - <br />certification -------Pumper. .. j. X. InstallerType of certification ^ ^ <br />#th!fa I^Siifionar^KtlicateT —rr rcate No <br />Is this a i'ruvxsAwa.*-- <br />rrtof t^thrcurrent construction season. P <br />Orono berore. _ji:— <br />8 <br />orono befor . ^ <br />Have you ever had <br />Where?ZlL iTS-unicipal sever hoo.-ups. VesJ <br />DO you pump out septic tanks? Yes No <br />No <br />SUBIWTTALS required : <br />$25.00 license bond naming City of Orono as <br />S2000.00 “'fl® ^fp?:Sers Bond will not be accepted. <br />y,3. 510-50:100,000 n^imun Certr-r^^ evidence*’■ •S¥rilr:fi:"s.n;s_r:r».. <br />,t persons other toan aPP^itant «no y y“— <br />>lv for permits under youi x ' . “ of <br />The undersigned ^g®ge^to^install and repair septic <br />Orono, Minnesota, for licens ..anks subject to the laws <br />irSrst“fol Ke°so«"^d the ordinances ° <br />Orono. _ ' KApplicants Signati^«^^. <br />Staff recommendation Approval <br />Reason for denial: —- - - <br />City Council Action Date <br />Date license mailed <br />Date 'S <br />/’^^enial <br />Approved