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PERMIT <br />MY 01: OFXM PERMIT TYPE: <br />2750 Kelley Parkway - PO. Box 66 Permit Number: SEWER & WATER <br />Crystal Bay. Minnesota 55323 cj08252 <br />(612) 473-7357 Date Issued: <br />81TE ADDRESS: <br />Str3 FERNDALE RO N <br />CH <br />DESCRIPTION: — - <br />NEW SEPTIC SY'c,TEM <br />Sewer & Water Perrnit. Type NEW SEPTIC SYSTE <br />`--piper h Wat•pr Wnr): Type, RUSIDENC•E. <br />REMARKS: <br />FEE SUMMARY: <br />Base F a�, $100 . 00 <br />----------- <br />Trt•a 1 <br />CONTRACTOR: - Applicant - � OWNER: <br />E;tlL.l.IVAS:''=• OTILITY ':.ERVIC:E 547:'4:?0I? SPENCER GALE <br />:3b5� ► HWY 101 8 50:3 FERN+TALE RO N <br />WAYZATA MN S--3 ,1 ORONO MN SF::91 <br />;12) 473-4300 476-1042 <br />THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS <br />SPECIFIED AA!u AGREES TO 00 ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF <br />L ORONO ORDINANCES AND STATE CIF M I NNESOTA BUILDING CODE REQUIREMENTS. <br />APPLICANT PEMATEE SIGNATURE <br />iSSUEDBY SIGNATURE <br />NIIIIIIII <br />