HomeMy WebLinkAbout1988-03-28 Permit, Replace Well #000696PERMIT
CITY OF ORONO PERMIT TYPE: SEWER h WATER
1335 Brown Rd South • P O Box 66 Permit Number 000696
Crystal Bay. Minnesota 55323 Date Issued 0 00696 ii
1612) 473-7357
SITE ADDRESS:
3780 BAYSIDE RD
Sewer h Water Permit Type WELL
Sewer b Water Work Type REPLACE EXISTING
FEE SUMMARY:
Base Fee $.00
Surcharge ---------- 5-59
Subtotal $.50
CONTRACTOR:
-- Applicant --
STEVENS WELL DRILLING CO 44792591
6240 HWY 12 W
YAOI C of AIAI MAI ccQC0
H
WELL --------$:4_44
Total Fee $30.50
OWNER:
ANDERSON HAZEL
.780 BAYSIDE RD
PMV CTAT GAV MAI
AE:ANDON WELL AND DRILL NEW WELL - SITE MUST VE OK'D BY CITY STAFF
SEND COPY OF STATE WELL RECORD
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
L SPECIFIED AND AGREES TO 00 ALL WORK IN STRICT COMPLIANCE WIT14 ALL CITY OF
ORONO ORDINAN ND STATE OF MINNESOTA E:UILDING (UDE RE4UI'EMENT-
_ _ � .�� _ __ �I �l lisc7 9ATaURE
PPLICANT PERMITEE SIGNATURE ISSUED BYG