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� � PERMIT <br /> CITY OF ORONO <br /> 2750.Kelley Parkway- PO Box 66 Permit Number: Po2si3 <br /> Cryst'�I Bay, Minnesota 55323 Permit Type: sewer and water Permit <br /> (612) 249�600 Date Issued: siiai2oo <br /> SITE ADDRESS: 3790 Shoreline Dr <br /> WAYZATA,MN 55391 <br /> P I D: 17-117-23-34-0004 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Disconnect <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: PermitFee: $ 35.00 Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> � <br /> TOTAL FEE: $35.50 <br /> APPLICANT: PETES WATER&SEWER OWNER: PAUL W LARSON <br /> 800 LOWREY AVE N.E. 3790 SHORELINE DR <br /> MINNEAPOLIS,MN 55418 WAYZATA MN 55391 <br /> THE UNDERSIGNID HEREBY REQUESTS PERNIISSION TO MAKE TI�REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND <br /> STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS. <br /> � <br /> � <br /> ISSUED BY SIGNATURE <br /> Copies:City,Applicant,Assessor,Finance Page 1 <br />