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a��� . o �5� <br /> s . <br /> � �'tO�C�'X t�SE�N��' � <br /> O,¢��O City of Orono T�atel�eeeiusd' Permrt#����""� ,'I <br /> P.O.Box 66 � � ��y ;• � � �� _..� � � � <br /> 2750 Kelley Pazkway ❑-ln�auseS�CT.1eteFTx►an��[+3�i-��rm�fi�IIp��f�t� ,F: <br /> �;. � Crystal Bay,MN 55323 <br /> � ,��yo (952)249-4600 Apptaued By(IfI��uired� <br /> CITY OF ORONO-HOMEOWNER SUPPLEMENTAL FORM <br /> WAYZATA-SEWER&WATER PASS THROUGH CONNECTION FEES& SAC FEES <br /> (ALL PERMI'TS-Mav be subiect to further review and mav not be issued when the aaalication is received) <br /> PERMIT CODES(IN-HOUSE) <br /> Sewer/Residential/Pass Through Fees/Blank <br /> Wated Residential/Pass Through Fees/Blank <br /> Sewer&Water/Residential/Pass Through Fees/Blank <br /> GENERAL INFORMATION <br /> 1. SAC& SEWER&WATER CONNECTION FEES CAN'T BE PREPAID—UNLESS THE <br /> CONTRACTOR WILL BE PULLING THE PERMIT IN A FEW DAYS. <br /> (PER MET COUNCIL). <br /> 2. If payments are made: Prior to the actual sewer or water connection permit(pulled by the <br /> contractor)the payment will be held until that permit is received and paid for. <br /> 3. These payments can only be made with check or cash,because they are pass through fees. <br /> 4. If you the homeowner wants proof of this payment,we will hand write a payment receipt. <br /> 5. We will not hold this payment more than a few days to one week,at which time if the contractor <br /> does not come in we could reserve the right to return your check to you,or collect additional fees <br /> that could change. <br /> 6. Once the sewer or water connection permit is issued,we will issue this permit and send you the <br /> homeowner a copy. <br /> T�PE OF PERMIT <br /> ;(Ch�ck t�li That A 1 ) <br /> ❑ Residential(May Require Approval) <br /> ew Connection ❑ Water Availability Connection For Future Hook-Up to Water <br /> Job Site/Qvvner I.nform�.tion: ' <br /> Site Address: /s m yr�"�eWOD� �-a <br /> V <br /> Owner: �OC71 �r�es�ct-�-he�� MailingAddress: I S I'h�+'+Iewcxxr� Qo(. <br /> c�ty: l,c��z a� z�p: .SS 3 4 1 <br /> Home Phone: ����7U��/�� Alternate Phone: <br />