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PERMIT <br />CITY OF ORONO <br />2750 Kelley Parkway - P.C. Box 66 <br />Crystal Bay, Minnesota 55323 <br />(612) 473-7357 <br />SITE ADDRESS: <br />•258 <br />L:SV <br />P. T.N. , OA-11'7-<--. i�i>1';I <br />DESCRIPTION: <br />REMARKS: <br />FEE SUMMARY: <br />PERMIT TYPE:F� � �� WATER <br />Permit Number: (•j(�;�i�,-i 1 <br />Date Issued: Ct7/ 2/96 <br />CYGNET PL <br />._,AC: i NI-Y <br />Sewer & Water Permit Type ':,AC ONI--Y <br />Sewer b Water Work Type RE:SIDENC:E <br />Ease Fee _------$y►ii►ir <br />T,:)ta l Fee $9 0.00 <br />CONTRACTOR: <br />min <br />OWNER: - App 1 i c ant. - <br />LU T THaMA'S <br />268 CYGNET F,L <br />ORONO MN 55.355 <br />(61*')47:3-201S <br />I <br />THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS <br />SPECIFIED AND AGREE` TO Dig ALL WORK IN :=:TR I GT COMPLIANCE WITH ALL CITY OF <br />ORONO ORDINANCES AND 'STATE OF M 1 NNESOTA BUILDING CODE REQUIREMENTS. �I <br />- lljc);L�-4 Lc-"-� APPLIC PERMITEE SIGNATURE <br />Ly-412 r2 tJi- <br />ISSUED BY SIGNATURE <br />