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PERMIT <br /> �I T4 C.� O R�N o Permit Number: <br /> 2750 K�IIe Parkwa - PO Box 66 P03990 <br /> Y Y <br /> Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit <br /> (952) 249-4600 Date Issued: 6i2si2ooi <br /> SITE ADDRESS: 4to� Highwood Rd <br /> Mound,MN 55364 <br /> P��: 07-117-23-44-0013 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Connection <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 35.00 <br /> Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 35.50 <br /> APPLICANT: Coppin Plumbing OWNER: Gary L Germundsen <br /> 5089 Shoreline Dr 4101 Highwood Rd <br /> Mound, MN 55364 Mound MN 55364 <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 <br /> STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> , <br /> %/J .::, <br /> (�J�(,'cict, � �.'7 �',�� /yi' " <br /> APPLI ANT PERMITEE SI NATURE I D BY SIGNATURE <br /> . <br /> Copies: 1-File(Signitures Requared), 1-Appficant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 <br />