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PERMIT <br /> CITY OF ORONO Permit Number: <br /> 2750 KP!ley Parkway- PO Box 66 P11455 <br /> G4ystal E�ay, Minnesota 55323 Permit Type: Sewer and Water Permit <br /> (952) 24�-4600 Date Issued: <br /> 9/17/2007 <br /> SITE ADDRES�: 3090 Farview La Unit# <br /> v <br /> C,ong Lake,MN 55356 <br /> P��� 04-117-23-34-0011 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: <br /> Sewer and Water Permit Permit Sub-type(s): Sewer Connecrion <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> SAC Paid#5045 -06/17/83 <br /> FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 35.50 <br /> APPLICANT: Glenn Rehbein Exc. Inc. OWNER: Robert& Sarah Schmidt <br /> 8651 Naples Street NE 3090 Farview La <br /> Blaine,MN 55449 Long Lake MN 55356 <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 /> �___ � � � � �,/]� <br /> -��-- � - i_�-.�'t�l. ���� 7 / / l � <br /> l� ��� <br /> APPLICANT PERMITEE SIGNATURE [SSUED BY SIGNATURE <br /> Copies: l-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 <br />