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PERMIT <br /> CITY OF ORONO <br /> 270 Kelley Parkway- PO Box 66 Permit Number: P12118 <br /> • Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit <br /> (952) 249-4600 Date Issued: 5/29/2008 <br /> SITE ADDRESS: 4040 North Shore Dr Unit# <br /> Mound,MN 55364 <br /> PID: 07-117-23-44-0092 <br /> DESCRIPTION: <br /> Proposed Use: Residential • <br /> Permit Class: General 4AA2 <br /> if <br /> Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer con <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> Sewer Repair <br /> FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 35.50 <br /> APPLICANT: Coppin Plumbing OWNER: Timothy&LeAnn Deggendorf <br /> 8460 County Rd 15 4040 North Shore Dr <br /> Minnetrista,MN Mound,MN 55364 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> I. / <br /> APPLICANT PERMITE SIGNATURE ileSUED BY SIGNATURE <br /> Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 <br />