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• CITY OF ORONO PERMIT NO.: 2010-00797 <br /> 1 � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 09/03/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 20 MYRTLEWOOD RD <br /> PIN : 36-118-23-33-0010 <br /> LEGAL DESC : MYRTLEWOOD <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : SEWER - • <br /> :� 2�cE.l'aE.`g <br /> PROPERTY TYPE : RESIDENT[AL ` . �rr �NV ;::,___. .._ �. . <br /> CONSTRUCTION TYPE : PASS THROUGH FEES � , ;,,.-:.-,-; r_,_� ;,, : <br /> �.;�;� �; <br /> NOTE: THIS IS THE SEWER&SAC CONNECTION FEE FOR PERMI"['# <br /> PAID VIA:HOMEOWNER-BOVGE-PERSONAL CHECK <br /> ��; <br /> �ata Wtri."s�r� L��snpfiti�?� FF:� <br /> ..1��� . .. . . <br /> :~�fl7�7 ��.3 �IY`t j nYi+7;. <br /> 4��� <br /> � �3r�Y`��+5 �Idf? fir; j�,d�;; <br /> `.:�.1�i i��f,i.r`.�:. <br /> .C{, ..._ _ <br /> iiL�CiC i`�Oi �t��1 G�, <br /> _,',�K. <br /> :*P.r��t�Y4E <br /> �% �l,,�i��*d'� � i"�r. <br /> APPLICANT SEWER CONNECTION CHARGE- WAYZATA 555.00 <br /> BOVEE,PETER S.A.C. 2,100.00 <br /> 20 MYRTLEWOOD RD TOTAL 2,655.00 <br /> WAYZATA, MN 55391- <br /> OWNER <br /> BOVEE, PETER <br /> 20 MYRTLEWOOD RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> "I he work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable Ciry approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> no[grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any[ime after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> -�requested in confor�ce.with the State Building Code.This permit may be <br /> r���at.a\ny time fo,due ca[r�e. <br /> � ��r� '-- •` <br /> r? L-� —=-'�1'`C_� � � � � ;"� � � <br /> �pp�ticant Permrtee Signatuce Date lssued ignature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . <br />