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PERMIT <br /> `,CITY OF ORONO Permit Number: <br /> 2750 Keliey Parkway- PO Box 66 P09457 <br /> ' Crystal Bay, Minnesota 55323 Permit Type: <br /> Sewer and Water Permit <br /> (952) 249-4600 Date Issued: 11/29/2005 <br /> SITE ADDRESS: 4445 North Shore Dr Unit# <br /> Mound,MN 55364 <br /> P I D: 07-117-23-31-0001 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: <br /> Sewer and Water Permit Permit Sub-type(s): Sewer Connection <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits 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: Westonka Sewer&Water OWNER: James&Margaret Kelly <br /> 6501 Co.Rd 15 5240 Nolan Dr. <br /> Mound, MN 55364 Minnetonka,MN 55343 <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 REQUI MENTS. <br /> � <br /> /� � <br /> _.�, �; �, 'CJ l /�� l7C~—`_ �L��� <br /> APPLICAN PERMITEE SIGNATURE ISSUED BY SIGNATURE <br /> Copies: I-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 <br />