HomeMy WebLinkAbout1995-06-16 Permit, New Septic System #007069PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 {,EES &WATER
Crystal Bay, Minnesota 55323 Permit Number: iit) rF
(612) 473-7357 Date Issued: 06/ 16/95
SITE ADDRESS:
27:35 COUNTRYSIDE DR W
L'_:V
P. I N. , 04-11-/-2:-:- 1
DESCRIPTION:
INE_W ;EF 1_ C: SYSTEM
Sewer b Water Permit. Type NEW SEPTIC SYSTE
Sewer °•I Water W•:,r;.: Type kEL:IDE NC:E
REMARKS:
FEE SUMMARY:
Base F�-.r $1()().0t►
cLlrc'harq�' --- - ��
II-Ital F :�. 1Cii::.50
CONTRACTOR: - Applicant -
C:LriVtl. HILL COMPANY TNC: S72%371S
8 0 X 2�:h
'_:HAK" IEEE MN 55.179
(. 61 ') 72:3-715 •
IL
am
Arfm
:00.00 _-
OWNER:
I.INY E: I DEN COMPANY
27:35 COUNTRY' ;DE DR W
I-IRI_INCI MN 66379
THE:: UNDERSIGNED HEREBY REQUE'3TS PERMI'3SICIN TO MAk:E TEE REAL !1'IF•-."0VEMENT'::
SPECIFIED AND AGREES TO 00 ALL W1 --IRK IN STRICT COMPLIANCE WITH ALL CITY OF
CIRONG ORDINANCE,,--; AND ':.TATE: CIF M I NNECd-IT A BUILDING CODE RE0U I REMEiNT' .
APPLICANT PERMITEE SIGNATURE
C'� Lz',t�� L
ff ISSUED BY SIGNATURE
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