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PERMIT <br />CITY OF ORONO <br />2750 Kelley Parkway - P.O. Box 66 <br />Crystal Bay, Minnesota 55323 <br />(612) 473-7357 <br />SITE ADDRESS: <br />?6':10 Cf - <br />P. 1 N. <br />a <br />P.1.N. � 04--11-/-- <br />DESCRIPTION: <br />PERMIT TYPE: SEWER & WATER <br />Permit Number: CiCi707S <br />Date Issued: 07712755 <br />::ewer c4 Water Pe),mit. TYRE NEW '=,E_F' T Ir: =;Y'3 T E <br />Sewjzr & Water Werk Type} RESIDENCE <br />REMARKS: <br />FEE SUMMARY: <br />Rase Fee $100.00 <br />Surcharge ------_ _$-59 <br />Tc. t.aI F e a $IOC►. so <br />CONTRACTOR: AF>tp i i c a) -It. - <br />CL'jVLR ;i i Ll_ COMPANY INC: 572 7 ? ': <br />BOX <br />SHAKOPEE MN <br />tE121 7��'3-%155 <br />1313300040 <br />0111? <br />104.00 <br />12«00 <br />01 CM <br />.50 <br />Ctifpt' it <br />301.50 <br />RECEIPT- THANK * DU <br />#344450 C001 <br />v'01 T,09:0, <br />V , A .1 <br />OWNER: <br />is I OEN TCINY <br />7h,() C.OUNTRYSIDE UR W <br />MN 55:356 <br />THE: ONDERS I GNEL) HE' F:Y REQUESTS PERMISSION TO MAt::E THE REAL IMPROVEMENTS <br />SPECIFIED ANO AGREE:-. TI) ()0 ALL WORK IN STRICT C13MP'L I ANCE WITH ALL CITY OF <br />URON(i C+RD I NA.NC.E: S AND E TATE CIF MINNESOTA BUILDING CODE REQUI REMFNTL. . <br />APPLICANT PERMITEE SIGNATURE ISSUED By SIGNATURE <br />