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IV <br />CITY OF ORONO <br />1335 Brown Rd. South • P.O. Box 66 <br />Crystal Bay, Minnesota 55323 <br />(612) 473-7357 <br />SITE ADDRESS: <br />E.2'7 <br />L Y <br />P . I . N. <br />DESCRIPTION: <br />REMARKS: <br />PERMIT <br />PERMIT TYPE: t-ISER DEFINED <br />Permit Number i ii t4755 <br />Date Issued 1 0 / _;0 / 9 <br />FERNDALE RD N <br />DRAINAGE SWALE <br />User Permit Type LAND ALTERATION <br />:WAL E: TO E E I ►J = TF'�l_i . C+ : F.' FROM (WETLAND <br />FEE SUMMARY: <br />Ease Fee <br />Tc ,ta 1 Fee <br />ICONTRACTOR: <br />OTTEN BR +' <br />IL <br />LONG LAKE <br />(F 12) 47:.3-S42 S <br />---------*5Q- ►Q <br />$.50 . 0(.) <br />CITY Of ORM <br />FINWE OFFICE <br />1313300000 1 <br />01 aw 50.00 <br />Q ECK TL 50.00 <br />RELZIPT-THANK YOU <br />C 5T320 C001 R01 T14:1! <br />SETBACK SHALL BE STAKED BY STAFF. <br />c {r-0, fj!�r 6PPuIFe-3 -TV <br />- Applicant. - <br />1473S4215 <br />MN 55355 <br />CUP 6iuus-.4`+, <br />OWNER: <br />iih+lN+=+ <br />TIM <br />FERNDALE RD N <br />MN 55391 <br />THE UNDER'_:I GNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS <br />SPECIFIED AND AGREES TO DID ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF <br />C+RC+NO ORDINANCES AND STATE OF MINNESC+TA BUILDING CODE REQUIREMENTS. <br />APPLICANT PERMITEE SIGNATURE--ISSUEU9V SIGNATURE 6 -c/t <br />J <br />