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b N <br /> A, City of OronoP. CI <br /> TY/SE ONLY ,,j� D <br /> % VO 2750 Kelley Parkway Date Received: # o9/6—De ie <br /> Crystal Bay,MN 55323 ' / <br /> (952)249-4600 Amount: $ 1Q,/ ./ _' [p) <br /> � <br /> 1,itiplic, <br /> t�KESHG�� <br /> CITY OF ORONO - SEPTIC SYSTEM PERMIT APPLICATION RECEIVED <br /> (All permits must be approved by the On-Site Septic Manager and/or Building Official) <br /> JUL 1 8 2016 <br /> " r , . CITY OF ORONO <br /> Site Address' 7/11 s T C 0 $ Tim /-7L ,rn , s <br /> Owner: /7c d_ (-11A± &J Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> . r' i� i t 4 a <br /> a <br /> Contractor/App.: ( 1 ez.i-,v s 6 X c a '€ i>- Contact Person: t9-2e-e-1-7)/ Z/e./-kr,e'r--rwv <br /> Address: 7i 5'SS fL'T z L--1/lc 2va,9- State License #: 7G ' <br /> City: //31 74)/e4 Zip: ,1/45 , <br /> '5 16 0 Expiration Date: 2-3 1— 2 o a <br /> Phone: cc Sa- 4 S 7- 2sv Alternate Phone: 7 6-2 - 6.5 7--,2,515) <br /> /❑ Residential ❑ Commercial ❑ Other <br /> New or Replacement System $400.00 g© O -o b <br /> Repair Existing System 100.00 <br /> (Tanks or Drainfield) <br /> Total $ <br /> RECEIVED <br /> JUL 1 8 2016 <br /> 1 / 2 CITY OFF ORONO <br />