HomeMy WebLinkAbout1993 - 005002 - SAC only PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 =EW R }7 WATER
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Permit Number: �:ii_f 0
02 Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357 !1.7/9".:=.1
SITE ADDRESS:
WESTLAKE ST
F' I .N . . Os--r. 17 __ -007R
DESCRIPTION:
'.-a ;sic='r ;I& Water Permit Type SAC: ONLY
__ewer, & Water Work Type RESIDENCE
CITY OF ORONO
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1222600000
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03/17193
REMARKS:
FEE SUMMARY:
Base Fee $ . 00
SAC $7.50 . 00
SAC % 100
SAC Units
Total Fee `x750
CONTRACTOR: OWNER: -- Applicant -
LANGERT P'RISC ILL A
WESTLAKE L_j- F ST
LONG LAKE MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS,
SPEC I F I ED AND :AGREES TO Dry ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
L OF ONO ODI NANCES AND STATE 'OF MI NNE�OTA BUILDING COLE REQUIREMENT
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APPLICANT-PERMITE SIGNA •"E ISSUED BY:SIGNATURE