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PERMIT <br /> CITY OF ORONO Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 Po66io <br /> Crystal Bay, Minnesota 55323 Permit Type: septi� <br /> (952) 249-4600 Date Issued: ��3i�2oo3 <br /> SITE ADDRESS: 2740 Deer Run Tr E <br /> L.ong Lake,MN 55356 <br /> P I D: 04-117-2 3-13-0010 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: Septic Permit Sub-type(s): New Septic System <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pernuts required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Pernut Fee: $ 100.00 Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 100.50 <br /> APPLICANT: Pamode Bros OWNER: Mary Stuart Fox <br /> 23200 109th Ave 2740 Deer Run Tr E <br /> Rogers,MN 55374 Long Lake,MN 55356 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> /'/ � _. <br /> ; ! �� ' ,%/ ��. � <br /> �--� <br /> APPLICANT PERMITEE SIGNATURE S UED BY SIGNATURE <br /> Copies: 1-File(Si�nitures Required), 1-Anolicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 <br />