HomeMy WebLinkAbout1988-03-09 Permit, Replace Water Well #000666CITY OF ORONO
1335 Brown Rd. South • P.O. Box 66
Crystal Bay, Minnesota 55323
(612) 473-7357
ADDRESS: 450
>.I.N.: 35-118-23-14-0004
DESCRIPTION:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
LONG LAK.E iNO E
c;ewer b Wz4t-, •-r Pc-v rio t I yv--e WELL
. ewer & Work. Type REPLACE EXISTING
.:EWER b WATER
OOOS55
0 4/09/88
CITY IF !
'. FEE SUMMARY.
Erase Fee 11.00 WELL ------ ice 30.00
?. r
r our .harge ____-���� 7ota1 Fee 3:
4` subtQtal G.5(j 01 GN .SO
W;
010 n 30.36
RfY,i71K-���
"M cool NJ W412
"All
OWNER:
HAMMON BETTY
460 Lt" NG LAKE RD
WAYZATA MN 55:39 !
REMARKS:
COPY OF STATE WELL REC(iRD MUST ESE SUE,M I T TED TO CITY OFFICES. EXISTING WELL
TO BE ABANDONED.
IBNED HEREBY REQUESTS PERMISSION TO MACE THE REk IMPROVEMENTS —�
11M ANO AGREES TO Ott ALL WORK IN STRICT CONPLIAtICE WIT14 ALL CITY OF
CN"O NANCES AND '--TATE' (IF MINNESOTA BUILDING CUUE REQUIREMENTS.
APPLICANT PERMITEE SIGNATURE ISSUED : SIGNATURE