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O City of Orono � R c� USE QNLY �° <br /> P.O.Box 66 � �� � <br /> �� �� 2750 Kelley Parkway �4Date Received ,. �� PeRttit#'��"��� <br />� Crystal Bay,MN 55323 � '�' F <br /> (952)249-4600 Amoun�< � $: " ��� � s , <br /> , ..< <br /> y�, � <br /> � <br /> ��'rES H�4� <br /> CITY OF ORONO — SEPTIC SYSTEM PERMIT APPLICATION <br /> (All permils must be approved by the On-Sike Septic Manager and/or Building Official) <br /> , , . <br /> Site Address: �`�� 1������ ��X1`1'1 �� <br /> Owner: '1 � �'�,1 �. ' t Mailing Address: '`t"� t..fl, �� � <br /> .� c�c�� � <br /> City: ��v�"1�� Zip: --��--�� <br /> Home Phone: Alternate Phone: <br /> . � , <br /> . <br /> , � n; � ' - � � :t�_ <br /> Contractor/App.:'(.C�"�.�U�i CtCt� i � a�� Contact Person: Ct..'1�L � C <br /> Address �r�-C���1 ����1-��-��-�� ��1 State License #: (������-- <br /> City: �t- � l�� �.' Zip: �J��L � Expiration Date: <br /> Phone: ��G�?,.����. ��C��2- Alternate Phone: <br /> O � i <br /> Residen#ial ❑ Commercial ❑ Other <br /> . . ; �.� � �,. ..�� :. <br /> New or Replacement System $400.00 =�l�l��`� - <br /> Repair Existing System �00.00 <br /> (Tanks or Drainfield) <br /> 0 <br /> Total � Dl�� <br /> 1 /2 <br />