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PERMIT <br />CITY OF ORONO <br />PERMIT TYPE: <br />2750 Kelley Parkway - P.O. Box 815 Permit Number: <br />Orono, Minnesota 55356-0815 <br />(612) 473-7357 Date Issued: <br />iz. 114_1119,:14:11 <br />55 CYGNET PL <br />L G V <br />P . I . N . , t.>n-117-2 _ - 2-000.1 <br />DESCRIPTION: <br />CONNF C:T I ON <br />-wer Water Permit. Type SEWER CONNEC:T113N <br />Sewer Wat.er Work. Type RESIDENCE <br />REMARKS: <br />FEE SUMMARY: <br />Ease Fee $351.00 <br />Surcharge -------__- <br />Total Fee ;5. S(i <br />CONTRACTOR: <br />:=•C:�-`M I T -STf VE PLBG <br />1iI45 MEDINA RO <br />LONG LAKE MN <br />;E I-iER & WATER <br />0061() 7 <br />CI7Y J OFrti1N0 <br />FIMWE OFFICE <br />131330M 1 <br />01 CZN 35.00 <br />mac« <br />.9 <br />(%�j 01 ra M <br />,qEeETfr-T)*W Y69 <br />Applicant - OWNER: <br />2476„:0 M i- I F tFAT T ROGER <br />65 CYGNET PL <br />.S2:SF. i IRONCi MN 56a% <br />THE UNDERSIGNED HEREBY REQ 1E _;T:; PERMISSION TO MAKE THE: REAL IMPR' tVEMENT4 <br />SPECIFIED AND AGREES TO 00 A! L WORK IN !3TR I C T COMPLIANCE WITH ALL CITY OF <br />ORONi � ORDINANCES AND Sl ATE OF M I NNEscrm E,I.1 I LD I NG CODE. REQUIREMENTS. <br />L <br />APPMANTiPEWREE SIGNATURE ISSUED BY. S*NATURE <br />