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Jul-14-2006 03:43pm From-CITY OF ORONO +0822404616 T-713 P.001/002 F-672 <br /> ` ® City of Orono <br /> Q,! lQ Box <br /> l ',�1�:iitP� n 4' I L• �Q'. s^,�rya,;I'•�_ <br /> '• q•-, ��j <br /> PaticV ayr. 7 <br /> ilk A, <br /> Ctysial Day,MN 93323 �. r �r-�•, e' 41 �' y d <br /> (952)248 4WO `+� is ';I " y°$',• rr,' S r.; � n <br /> 1 <br /> CITY OF ORONO SEPTIC SYSTEM PERMIT APPUCATION <br /> (All Wm is must be approved by Me On-Wo SOOft Manager andlar Building Offldal) <br /> Site Address: A , <br /> Owner: Mailing Address: <br /> City: 0-L62 Z J 0 Zip: <br /> Home Phone: Altemate Phone: <br /> Contractor/App.:-) Q1 �jCCo <_ Contact Penson: <br /> Address: l�//� /��� At State License <br /> City; Zip: Expiration Date: <br /> Phone: , - Alternate Phone; ��o� - Q3 J06P <br /> Residential El❑ Commerciai Other <br /> New or Replacement System $100.00 <br /> Repair Existing System 50,00 <br /> (Tanks or Drainfield) ' <br /> State Surcharge .50 _ 50 <br /> Total &200. . O <br /> 112 bY <br /> VA(PaMSapbc SYNS n P&Wt APP&ation.dac <br />