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RMIT <br />CITY OF ORONO <br />2750 Kelley Parkway - P.O. Box 66 <br />Crystal Bay, Minnesota 55323 <br />(612) 473-7357 <br />SITE ADDRESS: <br />I ()G51 <br />CH <br />P. I. N .. 0 -1 1 i-t :-4 :,-C;i; 1 <br />DESCRIPTION: <br />REMARKS: <br />FEE SUMMARY: <br />PERMIT TYPE: <br />Permit Number: <br />Date Issued: <br />FERNDALE RIB Id <br />SEWER CONNECTION <br />';ewer & Water Permit, Type ;EWER CONNECTION <br />':,ever A W-lt.er Wert; Type RESIDENCE <br />Ease Fee $3.5 . i;i; <br />S*urcrlarae -------- g C.l) <br />.;EWER tl WATER <br />6 0:34 11 <br />CI9/L4/96 <br />CONTRACTOR: -- Applicant - I OWNER: <br />THOMPSCIN F'LE'Ij 29332521 ST I C KNEY Re <br />15001 M I NN! TONKA INDUST RD 1065 65 FE RNGAI_F RD W <br />MINNETONKA MN SS345 ORCINC, riN F.t.::;';1 <br />(612) 93:;-7717 <br />THE UNDERSIGNED HEREBY REQUE'=:T' F'ERM I _`S I i 1N TO MAKE THE REAL IMPROVEMENTS <br />SPECIFIED AND AGREES T� � Di � ALL WORK IN '3 TR I CT COMPLIANCE WITH ALL CITY OF <br />ORCINC i ORDINANCES AND ' :TATE OF M I NNES'CITA BOI L.D I NG CODE- REQUIREMENTS. <br />L _ . _ <br />PERMITEE SIGNATURE <br />ISSUEDBV SIGMA <br />