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� PERMIT <br /> CI?'Y OF ORONO <br /> 2750 Kelley Parkway- PO Box 66 Permit Number: p11577 <br /> Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit <br /> (952)249-4600 Date Issued: l0/16/2007 <br /> SITE ADDRESS: 4205 North Shore Dr Unit# <br /> Mound,MN 55364 <br /> P��� 07-117-23-43-0004 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Pernut Class: General <br /> Permit Type: Sewer and Water Permit P�t Sub-type(s): Sewer Disconnect <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pemuts required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $35.50 <br /> APPLICANT: Speck-Tacular Companies OWNER: Mary Jo Peterson <br /> 5595 270th Street East 4205 North Shore Dr <br /> Elko,MN 55020 Mound MN 55364 <br /> T'HE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN 5TRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> �^`� �/'/�l�/'l�.� <br /> ' PLICANT PE E SIGNATURE SSUED BY SIGNATURE <br /> Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Sepric, 1-Sepric) Page 1 <br />