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w CITYOFORONO <br />2750 Kelley Parkway - RO. Box 66 <br />Crystal Bay, Minnesota 55323 <br />(612) 473-7357 <br />PERMIT <br />PERMIT TYPE: <br />Permit Number: <br />Date Issued:11/03/94 <br />SITE ADDRESS: <br />25S BROWN RD B <br />P.I.N.; 03-117-23-24-0003 <br />1DESCRIPTION <br />NEW SEPTIC SYSTEM <br />Sewer & Water thermit Type NEW SEPTIC SYSTE <br />Sewer & Water Worl;. Type RESIDENCE <br />% <br />I <br />mm /M <br />» ,4k ■■ <br />■i. <br />REMARKS: <br />FEE SUMMARY: <br />CITY OF QROHO <br />FltmE OFFICE iilimm------------a\ <br />Base Fee <br />Sure I large <br />Total Fee <br />$100.00 <br />$ RO <br />ilooTso <br />• V <br />01 GEH 100.00 <br />1222200000 » <br />01 GEH .50 <br />TOTAL 100.50 <br />CHECK 100. OC <br />CASH .50 <br />RECEIPT-'mK YOU <br />K31S260 cool m TOSiin <br />11/03/94 <br />CONTRACTOR:RITTER EXCAVATING <br />7120 VERNON ST <br />ROCKFORD MN <br />(612) 477-S643 <br />Applicant - <br />84773349 <br />55373 <br />OWNER:YER16AN CONST <br />27741 UNIVERSITY AVE Nt <br />ISANTI MN 55040 <br />444-535::! <br />THE UNDERSIGNED HERESY REQUESTS PERMISSION TO MAKE THE REAL. IMPROVEMENTS <br />SPECIFIED AND AGREES TO 00 ALL WORK IN STRICT COMPLIANCE WITH ALL CITY Or <br />CtKONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br />■iiilfe: _J <br />APPLICANT PERMITEE SIGNATURE <br /><222 <br />ISSUED BY: SIGNATURE