HomeMy WebLinkAbout1988-05-26 Permit, Sewer & Water #0008450
PERMIT
CITY Or: ORONO PERMIT TYPE: =.EWER & WATER
1235 Brown Rd. South • P.O. Box 66 Permit Number 00084
Crystal Bay, Minnesota 55323 Date Issued
(612) 473-7357
SITE ADDRESS 20 CYGNET PL
I.I.N.: 04-117-23-22-0024
DESCRIPTION:
c.ewer & Water Permit Type WELL
Sewer & Water Work Type RESIDENCE
FEE SUMMARY:
Base Fee 1 00
Surcharge-------_4-5Q
Subtotal Z ..Sig
UUN I HACK I UH:
-- Applicant --
D13 I LLCO 49723:340
8790 HWY 12 E
DELANO MN 55:328
( F.12 ) 972-' 24 z
REMARKS:
WELL
$:30 . SCE
OWNER:
IJA THOMAS
CYGNET PL
3 LADE MN S5356
THE UNUERISI GNED HEREBY REQUESTS FERMI c:c:I GN ► L. rjAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORI-11' IN STRICT COMPLIANCE WITH ALL CITY OF
CIRCINCI CIRDINANCEc; AND c'TATE CIF MINNE'SC1TA BUILDING C:ADE REQVIREMENTc:.
LICANT "PERMITEE SIGNATURE ISSUED IV
SIGNATURE