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CITY OF ORONO PERMIT <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Posi4� <br /> � Grystal Bay, Minnesota 55323 Permit Type: Sewer and water Permit <br /> (952) 249-4600 Date Issued: li�t�2oo4 <br /> SITE ADDRESS: 3015 Casco Point Rd <br /> Wayzata,MN 55391 <br /> P I D: 20-117-23-34-0003 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Pernut Class: General <br /> Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer&Water Disconnecti� <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pernuts required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 70.00 Valuation: $ 1.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 70.50 <br /> APPLICANT: Widmer Construction LLC OWNER: R Laurie <br /> 9455 County Rd. 15 3015 Casco Point Rd <br /> Maple Plain,MN 55359 Wayzata MN 55391 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SI'ATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> —� i <br /> /� �����t� ,�—���'n � `������� ��l� <br /> APPL[CANTPERM[TEESIGNATURE ISSJ DBYSIGNATURE <br /> Cooies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 <br />