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PERMIT <br /> CITY O�F ORONO <br /> Permit Number: <br /> 2750 Kelley Parkway- PO Box 66 P11678 <br /> Crystal Bay, Minnesota 55323 Permit Type: Septic <br /> (952) 249-460� Date Issued: <br /> 11/14/2007 <br /> SITE ADDRESS: 2690 Fox St Unit# <br /> Wayzata,MN 55391 <br /> PID: 04-117-23-42-0003 <br /> DESCRIPTION: <br /> Proposcd Use: Residential <br /> Permit Class: General <br /> Pcrmit Type: Septic Permit Sub-typc(s): New Septic System <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 100.00 valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 100.50 <br /> APPLICANT: Elmer J. Peterson Company OWNER: Rodney Moore <br /> 5921 Dague Ave SE 18140 Zane Street NW <br /> Delano, MN 55328 Elk River,MN 55330 <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 /> � , <br /> ; _ , /� � <br /> - .C"�,,'� !%� `Gi9�n��_...z.z <br /> . 1 <br /> : :.. '�:........ <br /> G' APYLICANT P6RMITGIi SIGNA"1'URG SUED BY SIGNATURE <br /> Copics: 1-File(SrgiiaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(If Septic, 1-Septic) Page 1 <br />