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Octi 18�8 �9: 14a p. Z <br /> . � <br /> ��M _DL'IERNliNTNG �'ER�1T FEF.S � <br /> ❑1AC Chsr�c(2008 R•rtc=�I,I325.p0) $ <br /> (SAC Charf,e murt:u;cx�mpsny t�il�war�rcr�nit a�ePliculions unlc!+�propu�d) <br /> (Oronu Cilx SlulrCan cictcnninc i1'a�plicublu) <br /> (If not prepaid,a e�aw�r connCotion permit will not bC i.«twued) <br /> .� �?C � <br /> �Scwcr ConncctN�n/Di��vrnncct!kc�wir(g,3.5.UU/Pcr�u'ivb) !6 .��J��% '" <br /> Pipc sid: inch�.;;mvtcri�l Schd d0 1ir tt�:tc:d: C.1Rt irpn <br /> �Writcr Conncction/Uicc�n�ect/Ftcp:�ir(S35.oare�•Stub) $ V'�,'� v ''' <br /> Plpe si7.e�_.,._., , inchcs5;maloci:�l Schd dO 1ir tcclnd; coppe►' <br /> l. SUBT07'AL oFNcrn�it Reqvc�tcxl: 5 _,, .._ <br /> z. ST/\TF,5t1RC:H/�Rti� $�_„ , . .50 <br /> i. PQSTAC'iF ht HANI�F.INCi(()nly on M�lil-In�ppllc�tians) $ _„I 5Q <br /> � � �U <br /> 4. TpTAI,P�RMiT FF.F(Add Linc� 1-3 Abovc) S L,_�.� ' <br /> _ .. .. .... . ....-••-- —•• ... <br /> �� ADI�ITiONAi, fNFURIV�A'L'I�N�- Wf1,'�'ER MF.TLRS _ <br /> ■ wATER M�TG�K.ti mu�l bc piCkul up and p�id 1'or<1t Orono C:ily hlull,ltu:ac�re on a�en�r.�tc ncrrr�it. <br /> ■ WATF:R MF.TFRS mu�t bc cel :rnd v4.�1�;� by Orodo W9tcr Dc1►artment (952) 249-460Q, upnn <br /> cumplcliva ul'mcler in�lallali0n. <br /> Tha undersibn�d hercl�y lppli�s tn thc City o1�Urono I�ur is��u:�nc�ol'a Utility P�srmil, .�grccti l�do <br /> all work in strict accordance with tl�e ordinancos of thv City �nd thc rcgulations oF lt�� St3tc �f <br /> Mim�c:.�ln,:�nd ecrtific� LF�ac.�ll ,tatemcnGg made on this applic:�tion i�ro, true and eorrecl•. <br /> ,�/ '�1 � l <br /> Applicant: u�� 1 � Datc: �Q '"/� " ��� <br /> y1:—� //�—''c.Q.�v� <br /> / <br />