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PERMIT <br /> C�TIf t�F ORONO <br /> 2750 Kelley Parkway- PO Box 66 Permit Number: p09396 <br /> Crystal Bay, Minnesota 55323 Permit Type: Se tic <br /> (952) 249-4600 p <br /> Date Issued: 11/7/2005 <br /> SITE ADDRESS: 2920 Fox St Unit# <br /> Long Lake,MN 55356 <br /> PID: 04-117-23-31-0018 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Se hc Permit Sub-type(s): New Septic System <br /> Permit Type: P <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: Homestead Septic OWNER: Mr. &Mrs. Chad Abraham <br /> 1108 Goldenrod Ln 186 Seminary Dr <br /> Shakopee,MN 55379 Meulo Park, CA 94025 <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 /> r <br /> _SIGf/X�" y�� J�. - <br /> �_�'� �j ----�----_---.____1i <br /> �►Ert�F-'F-RFBMI'TFF c[�NATURE ED BY SIGNATURE <br /> Copies: ]-File(Signatures Regurred), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, l-Septic) Page 1 <br />