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PERMIT <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: 2:300 F13X 3T <br />P . I. N . , 0:3-117-2:3-:32---0171:3 <br />DESCRIPTION: <br />FEE SUMMARY: <br />P`'EWER &WATER <br />PERMIT TYPE: <br />c1ot��:31 <br />Permit Number: (I:'/ J E• <br />Date Issued: <br />'.;ewes h Water Permit. Type WE-L_L. <br />'Sewer & Water WDr' Type RESIDENCE <br />Base. Fee $ . 00 WELL _-_---__-laQ.-QQ <br />'surcharge ___.-------_ ..�Q T-3tal Fee $:30.54 <br />Suhtrito 1 $ . 5U <br />CQNTRACTOR: <br />3TODOLA DON WELL <br />l E,�,i IF. Hwy 7 <br />MINNETONKA <br />(E,S/") 91-:E:— lit <br />REMARKS: <br />-- ApP l i c ant. --E�,�. <br />CO 49:382111 7ii7C�'tfl�'1E RON <br />2. *0 F CIX S:T <br />MN 55:345 IWAYZATA MN 55:391 <br />r THE UNDER.S I GNE:U HE:REEY REQUESTS PERMISSION -t CI MAKE 1 HE RLAL 1 * RCIVEMENTC: <br />:SPECIFIED ANO AGRE:E3 TO DO ALL WORK IN ,} TR I C: T COMPLIANCE WITH ALL CITY OF <br />L- URCINCI ORDINANCES AND STATE C - M I NNE SOTA BV I L D I NG COD hE4�U I fiE_MENT':: . <br />/' r1 <br />APPLICA T PER EE SIGNATURE ISSUE Y SIGNA &HE <br />