Laserfiche WebLink
l � <br /> FOit GIT'Y�3SE ONLY ;, <br /> O,¢p�,O City of Orono llateiteceivad: F�mmic# <br /> P.O.Box 66 <br /> 2750 Kelley Parkway [�in-�Iou�e$A�I�eCtCrtYlination Fmm Compteteti <br /> _ � � � Crystal Bay,MN 55323 <br /> � (952)249-4600 Approved�3y(�f R�qt►ired): <br /> - CITY OF ORONO—HOMEOWNER SUPPLEMENTAL FORM <br /> WAYZATA-SEWER&WATER PASS THROUGH CONNECTION FEES& SAC FEES <br /> (ALL PERMI'1'S-Mav be subieM to further review and mav not be issued when the aoolication is received) <br /> PERMIT CODES(IN-HOUSE) <br /> Sewer/Residen[ial/Pass Through Fees/Blank <br /> Water/Residential/Pass Through Fees/Blank <br /> Sewer&Water/Residendal/Pass Thmugh Fees/Blank <br /> �Er��n�a���orr <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 unril 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 addirional 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 /> TYPE UF PERMIT <br /> Check All T�at A 1 <br /> ❑Residential(May Require Approval) <br /> ❑New Connection ❑ Water Availability Connecrion For Future Hook-Up to Water <br /> Jab Site f Owner Iriformation: ° <br /> Site Address: J�4 /ntir�-/ec��o� o� <br /> Owner: �.K��s� Mailing Address: �� � �q� <br /> c�ty: lu�� z�p: 5s3g� <br /> Home Phone: �JrZ ' �73-�d'9g Alternate Phone: <br /> �� � <br /> 41 t�'�a/1'�c4�"n� <br />