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CITY OF ORONO PERMIT <br /> 2750 Kelley Parkway- PO Box 66 Permit Number: Po6s4s <br /> Crystal Bay, Minnesota 55323 Permit Type: septi� <br /> (952) 24�-4600 Date Issued: io�ii2oo3 <br /> SITE ADDRESS: 470 Big Island <br /> Excelsior,MN55331 <br /> P I D: 22-117-2 3-41-0002 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Pernut Class: General <br /> Pernut Type: Septic Pernut Sub-type(s): New Septic System <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> Matt to inspect <br /> F�E SUMMARY: Permit Fee: $ 100.00 <br /> Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 100.50 <br /> APPLICANT: Hagberg Exc. OWNER: Daniel McCloud <br /> 18545 Roanoke St.NW 470 Big Island <br /> Anoka,MN 55303 Excelsior,MN 55331 <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 STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> I\ �f � <br /> ` ' � �.�__ � ( ���' 7�(� /'� <br /> A�PL[ PERMIT E IG AT ��ED BY SIGNATURE ��� (/� <br /> Conies: 1-File(Si2nitures Required), 1-Applicant, 1-Monthlv Renorts, 1-Assessing, 1-Finance Page 1 <br />