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HomeMy WebLinkAbout1992-06-29 Permit, Septic System #004424PERMIT CITY OF ORONO 1335 Brown Rd. South • N.O. Box 66 Crys!al Bay, Minnesnt , � 1323 1612) 473-7357 SITE ADDRESS: 4180 BH Y.J I DE RD PERMIT TYPE: _:EWER & WATER Permit Numbe 004424 Date Issued: ()E./`19/19 CH P.I.N.: 31-118-23-44-O004 DESCRIPTION: NEW SEPT i c'TEt1 Sewer & Water Permit 'i _ NEW SEPTIC SYSTE Sewer & Water Work Type RESIDENCE REMARKS: FEE SUMMARY: Base Fee `x100.UO Surcharge ---------- 1-SQ Total Fee $100.50 CgYTAIIrTEtK ITHERS 54:'G i7S�� 16SS1 LAKF RIDGE RD MANL E GROVE MN SS369 I (6125 420-379-7 IL C'T'i'Y OF ORONO F� tI AN 'E OFFICE 1 J131O0)1N �}%j CEN 100, 00 1222 00000 50 CHECKt 100.50 NECEi�- T-7AWK YOU 4j4a-q30 cool Rol T0:17 PAWS DAV I S 418f.) BAN DE RD CIRCINO I SS:iti4. THE UNDERSIGNED HEREBY REQUESTS PFRMISSiUN TO MHYE THE REAL IMPRC :NTS SPECIFIED AND AGREES m DO ALL WORK IN 'STRICT COMP'. Ir-i:.;E WITH ALL (Y OF ORONO ORD I NAN% :FS AND STATE OF M I NNESOI A i:U I LD: NC' ".EQU I REMENTS . 4"Pilr'' NT PERMS i EE SIGNA' ISSUED BY SIGNATURE_, '