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4 � <br /> PERMIT <br /> CITY OF ORONO <br /> 2750 Kelley Parkway- PO Box 66 Permit Number: P09313 <br /> Crystal Bay, Minnesota 55323 Permit Type: <br /> Sewer and Water Permit <br /> (952)249-4600 Date Issued: 10/18/2005 <br /> SITE ADDRESS: 774 Tonkawa Rd Unit# <br /> Long Lake,MN 55356 <br /> PID: 05-117-23-34-0009 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: <br /> 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: Permit Fee: $ 35.00 Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 35.50 <br /> APPLICANT: Coppin Plumbing OWNER: Daniel Hessburg <br /> 5089 Shoreline Dr 4165 Shoreline <br /> Mound,MN 55364 Spring Park,MN 55384 <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 REQUIREMENTS. <br /> t <br /> LI ANT PERMITEE SIGNATURE ISSUED BY SIGNATURE <br /> Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 <br />