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Mr.MIT <br />CITY OF ORONO <br />1335 Brown Rd South - P.O. Box 66 <br />Crystal Bay, Minnesota 55323 <br />(612� 473.7357 <br />il-T—EADD—RESS—: --- <br />575 <br />TLN <br />DESCRIPTION: <br />REMARKS: <br />PERMIT TYPE: <br />Permit Number - <br />Date issued: <br />FERNOALE RI) N <br />Sewer b Water Perri-iit. 7vpc- SEPTIC: CY'QTFM <br />Sewer & Wat�:,- W..:-rk T-ipi- REPLACE EXISTING <br />PER MF'G'r-. REPORT GIVEN TO CCINTRACT(iR <br />FEE SUMMARY: <br />Base Fee $50 . 00 <br />Sc 3urcharge <br />Total Fei�.- SO <br />cEWER b WATER <br />710E # <br />00 <br />A <br />CONTRACTOR: ADplirant ---- OWNER: <br />SULLAVAN' c".' INC: �47."'.4.-'00 C-.ARY <br />:3660 HWY A01 17l:f,,ANrjALE RO N <br />WAYZATA MN : 1 NN <br />IL <br />TFIF LINGERS IGNED hFREBY REQUESTS 1G1 rlArE THE. REAL IMPROVEMENTS <br />SPECIFIED ANO AGREES TO 00 ALL WORv IN STRICT COMPLIANCE WIT14 ALL CITY OF <br />CIRCINCI CIRO I NAND, ; AND 'O"TATE 0ri'v INF':--:1'1TA BUILDING C:CIDE REQUIREMENTS. <br />'7 <br />APP;,k AN , +/14 ISSUED SIGNATURE <br />