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CITY OF ORONO <br />1335 BrownMd South*PO BOX66 <br />Crystal Bay, Minnesota 55323 <br />(612)473-7357 <br />SITE ADDRESS: <br />430 <br />P. I .N. : 31-U8--23-2:3-0007 <br />DESCRIPTION: <br />PERMIT <br />PERMIT TYPE: <br />Date Issued <br />Or.WLfv ti WhTI R <br />001244 <br />0'^/2V/30 <br />0EG08AH OR <br />c.ewt'P ft Water Permit Type <br />Sewer & Water Work Type <br />SEPTIC; SYSTEM <br />RESIDENCE <br />REMARKS: <br />PER MPG REPORT - KEEP ALL TRAFFIC OUT OF DRAINFIELD AREA!! <br />FEE SUMMARY: <br />Base Fee <br />Sure harcjt? <br />lotal l-ee <br />*75.00 <br />$7S.S0 <br />CITY OF CR0}^0 <br />FIRAra OFFICE <br />------------------# <br />01 CD^ 75.00 <br />1:22:00000 » <br />01 OtS .50 <br />-----Tu-----75.50- <br />irECEJFJ-'HA.if. tOkJ <br />4111410 001 FOl T07:3^ <br />o^/:3 ‘SS <br />CONTRACTOR: — Applicant •— <br />JNSELSlDE ENGINEERING S47S1SS9 <br />4320 HWY 5S <br />ROCKFORf) MN SS-3VS <br />(6121 473“1369 <br />OWNER: <br />PIERCE <br />430 <br />MAEI.E PI AIN <br />MICHAEI. <br />DEBORAH OR <br />MN SS:};SS <br />L <br />THE UNDERSIGNED HEREPY REOUESTS PERMlSSIOIil TCi MAKE THE REAL IMPROVEMENTS <br />iSPECIFIEO AND AGREES TO 00 ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF <br />CiRONO ORDlNANCiS AND STATE OE MINNESOTA PUIIDING (:ODE REOUIREMENTS. <br />hiTiCyx <br />- >/m. <br />1