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' �-_ . � PERMIT <br /> CITY OF ORONO <br /> 2750 Kelley Parkway- PO Box 66 Permit Number: p12158 <br /> Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Pernut <br /> (952) 249-4600 Date Issued: <br /> 6/12/2008 <br /> SITE ADDRESS: 460 East Long Lake Rd Unit# <br /> Wayzata,MN 55391 <br /> P��� 35-118-23-14-0003 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: <br /> Sewer and Water Permit Pernut Sub-type(s): Sewer Disconnect <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> Sewer Disconnect <br /> FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 35.50 <br /> APPLICANT: Dave's Construction Services,Inc. OWNER: Amit Sela Holdings Inc. <br /> 15700 Juniper Ridge Drive 460 East Long Lake Rd <br /> Ramsey,MN 55303 Wayzata,MN 55391 <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 /> APPLICANT PERMITEE SIGNATURE ISSLTED BY SIGNAT[JRE <br /> Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 <br />