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.. • <br />PERMIT <br />CITY CF ORONO <br />PERMIT TYPE: <br />2750 Kelley Parkway - P.O. Box <br />815 <br />Permit Number: ;EWER 14 WATER <br />Orono, Minne,-ota 55356-0815 <br />006342 <br />Date Issued: <br />(612) 473-7357 <br />SITE ADDRESS: <br />1003 COX FARM <br />RD <br />P. I. N., 27-11 E-:-23-33-0014 <br />DESCRIPTION: <br />DEPT I C Yr:TEM <br />';ewer <br />& <br />Water Permit- t'ype <br />NEW SEPTIC SY'STE <br />'.ewer <br />& <br />Water Wcirk Tyr r <br />RESIDENCE <br />REMARKS: <br />FEE SUMMARY: <br />Basi_ Fee ? , (-W), i�il <br />_surcharge _---__ --i--110 <br />Tot -2.1 FEE � 100. L,() <br />CONTRACTOR: - App 1 i c ati t — <br />INGELS1DE ENGINEERING S4791E:69 <br />4'-32-1C► HWY SS <br />RIjC:f;FiIRD MN SS373 <br />LI TY OF GRONO <br />F 1 NA#q;E OFFICE <br />1.1344000 Y <br />01 GEN 144.40 <br />41 WN 50 <br />CHECK TL 100.50 <br />RECEIPT-iMNr' YOU <br /># 311 wo 0441 R01 T14.39 <br />OWNER: <br />W I LSC IN I-4-4 <br />100:3 CIX FARM f,'D <br />CIRCINU MN bb' -466 <br />47:?—/+799 <br />THE UNDER' 1 GNED HEREBY F'ERM 1 E-,-; I i IN TO MAKE. THE REAL IMPROVEMENTS <br />°SPEC. I F I ED ANO AGREES TO i Dt i A! L V RK IN STRICT CI_1MF'L I ANCGt:. WITH ALL CITY O <br />'RONCI IFIRUINANI.:E-'_; AND :-;TATE CIE= MINNE.CA'ITA E:U)LDING C:' --IDE REQUIREMENT:-;. <br />L <br />APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE <br />___l <br />