HomeMy WebLinkAbout1996-008279 - balance of SAC PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 :EWER h WATER
Crystal Bay, Minnesota 55323 Permit Number: 008279(612)473-7357 Date Issued: 08/119/196
SITE ADDRESS:
3:30 TONKA AVE
CH
P. I .N. ' 05-117-23-14-0040
DESCRIPTION:
BALANCE OF SAC
`..ewer b Water Permit Type SAC ONLY
Sewer h Water Work: Type RESIDENCE
REMARKS:
BALANCE t�F SAC FEE - #5I46 WAS ISSUED 5/17/93 IN AMOUNT OF $750 BUT Ce iNNEC:TI
ON NEVER MADE - CONNECTION WILL BE MADE THIS YEAR.
FEE SUMMARY:
Case Fee -------11 5Q-t�i�
Total Fee $150. 00
CONTRACTOR: OWNER: - Applicant. -
CHR I STENSEN DAVID
330 TONt:A AVE
ORON13 MN 55:355
THE UNDERSIGNED HEREBY REQUESTS PERM ISS I0N"T MW-E,,-,.'THE�,iJR *. J
SPECIFIED
EC:IFIED AND AGREES TG. ,..
D6 A L;. I RK IN St"01 T W4KT "Ty'
L_ 3JN �RL�ItvAi� r.p� NO STATE: 100MINNESOTA
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE_,4C-y