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�O� City of Orono FOR CITY USE ONLY <br /> P.O.Box 66 <br /> 0 2750 Kelley ParkwaY Date Received: �� /S Pertnit# Z�'��'�J ����J� <br /> Crystal Bay,MN 55323 <br /> (952)249-4600 � Amount: $ <br /> � <br /> s � <br /> � � ( <br /> tqKfSHO��' �i l <br /> CITY OF ORONO-SEPTIC SYSTEM PERMIT APPLICATION <br /> (All permits rnust be approved by the On-Site Septic Manager and/or Building Official) <br /> .1ob�it�10w��r In#arr�aYt�n: 5/S N, f�m ��2 , <br /> � <br /> Site Address:_�A�'E �/�� p� D�ONa ����� D��� ) <br /> �/ <br /> ;� Owner: �G ' �/D�./� Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Con#ractar/Applicant Ir�#o�rr�tic�n; <br /> Contractor/A �f=�{l7�-.E?. / <br /> pp�� S f�T�i�2.�A�ontact Person: //�-� <br /> Address: ���7/ �� �. � �(/� State License#: o�/� <br /> City: ���.�N Z�p: S,�3� � Expiration Date: <br /> Phone: ��.3 ' 9 7� - d ���j qlternate Phone: <br /> TYPES QF QCCUPANGY <br /> (,� Residential ❑ Commercial ❑ Other <br /> PERNtIT T'YPE AND€fES <br /> New or Replacement System $400.00 �pp, DD <br /> Repair Existing System 100.00 <br /> (Tanks or Drainfield) <br /> Total $ �pa, po <br /> 1 /2 <br />