Laserfiche WebLink
� <br /> ! <br /> �.,—�-� FOR CITY USE ONLY <br /> j`^g'�'����� Clty Of OCOriO Date Received: Permit# <br /> / M1� P.O.Box 66 <br /> ` 2750 Kelley Parkway ❑In-House SAC Dete�mination Form Completed <br /> ������,�� ' Crystal Bay,MN 55323 <br /> ''��� �� (952)249-4600 Approved By(If Required): <br /> xr„ <br /> CITY OF ORONO—HOMEOWNER SUPPLEMENTAL FORM <br /> WAYZATA- SEWER& WATER PASS THROUGH CONNECTION FEES & SAC FEES <br /> (ALL PERMITS-Mav be subiect to further review and mav not be issued when the auplication is received) <br /> PERMIT CODES(IN-HOUSE) <br /> Sewer�Residential/Pass Through Fees!Blank <br /> Water Residential/Pass Through Fees/Blank <br /> Sewer&Water/Residential/Pass Through Fees/Blank <br /> GENERAL 1NFORMATION <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 /> TYPE OF PERMIT <br /> (Check All That Apply) <br /> �Residential(May Require Approval) <br /> �New Connection ❑ Water Availability Connection For Future Hook-Up to Water <br /> Job Site/Owner Information: <br /> Site Address: � � i'l.� Iti-0 �' G �2 � <br /> Owner: � ° � �� � �'' � � � �'`"��`'` Mailing Address: �S" �- ��'`��� <br /> city: �U � �� �,�- zip: �� 3 `t l <br /> �' I � � ��7 �" � � �� `� 1 <br /> Home Phone: Alternate Phone: <br />