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PERMIT <br /> CIT:Y �3F ORONO <br /> 2�750 Kelley Parkway - PO Box 66 Permit Number: Po3o�� <br /> Crystal Bay, Minnesota 55323 Pe�mit Type: Sewer and Water Permit <br /> (612) 249-4600 Date Issued: toi3i2oo <br /> SITE ADDRESS: 190o Fox Ridge Rd <br /> LONG LAKE, MN 55356 <br /> PID: 03-117-23-13-0009 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: Sewer and Water Permit Permit Sub-type(s)� SAC Onl nnection <br /> Y <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SU1I�MARY: Permit Fee: $ 35.00 Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> SAC Fee: $ 1,100.00 <br /> TOTAL FEE: $ 1,135.50 <br /> APPLICANT: �TTER EXCAVATING OWNER: S M&E W POLANSKY <br /> 7120 VERNON STREET 1900 FOX RIDGE RD <br /> ROCKFORD,MN 55373 LONG LAKE MN 55356 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL INtPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND <br /> STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> ' � � <br /> �_� <br /> � L� �Gc� �"�� ��`'�'�'i' � — C�—' �� ��-�� �4�h�rZ <br /> APPL[ ANT PERIv1IT�rNATURE IS D BY SIGNATURE <br /> Copies: City, Applicant,Assessor,Finance Page 1 <br />