Laserfiche WebLink
- <br /> � City of Orono FOR CITY USE ONLY <br /> � �� P.O.Box 66 <br /> � 2750 Kelley Parkway Date Reoeived: I%_�(��/_� Permit#0�0/� � D <br /> Crystai Bay,MN 55323 �� <br /> (952)249-4600 Amownt: $�� <br /> � � <br /> �� � <br /> L �S� /O / <br /> ��kESH��� 1 /«c�("�. <br /> CITY OF ORONO — SEPTIC SYSTEM PERMIT APPLICATION <br /> (Ali permits must be approved by the On-Site Septic Manager and/or Building Official) <br /> ,.������,������": j��Fl d� ����, '�. v. <br /> �� i�k.f <br /> ,. s , '� _...�i<..v..�d i,,..,.:=. <br /> -- .... . .:_�.� _, . , _ , . . ..� ..._.. ,.. � <br /> ., ._ . .' �\ .. ` <br /> Site Address: � � � �-t �� �� � ` <br /> Owner: �-�-r�`^-�I � ' �-S Mailing Address: <br /> City: � �v��Q � Zip: <br /> Home Phone: Alternate Phone: <br /> ���nr/:��n#��formai�on: <br /> �� - <br /> � <br /> Contractor/App.: �1 `�'� � �`���`� Contact Person: `"� <br /> Address: State License #: �--� � � <br /> City: Zip: Expiration Date: / Z- <br /> Phone: ��� ������ Alternate Phone: ���Z ������ <br /> TYPES U� 4CCU�Al��C'Y , <br /> Residential ❑ Commercial ❑ Uther <br /> �;�������"����,� P�R� :. l�#�iD=F�� �:,.���.. �� ���� <br /> �� <br /> New or Replacement System $400.00 ��� <br /> Repair Existing System 100.00 <br /> (Tanks or Drainfield) <br /> �1 �- �-- <br /> Total $ l �-/� <br /> I � <br /> 1 / 2 <br /> � l , <br />