HomeMy WebLinkAbout1994-08-24 Permit, Septic System1.
PERMIT
CITY OF ORONO
2750 Kelley Parkway • P.O. Box 815
Orono, Minnesota 55356-0815
(612)473-7357
f SITE ADDRESS:
PERMIT TYPE: SEWER Q, WATE:4'
Permit Number: 0 I1,:; 71
Date Issued: i"r ; /'14 1,94
SSO LIING LAKE RD E
LSV
P I N 3S-118-23-14-0002
DESCRIPTION:
NEW SEPTIC: SYSTEM
Sewer & Water Permits Type NEW SEPTIC SYSTE
c:ewer & Water Wcark Type RESIDENCE
CITY OF ORON0
F 1>ti'�E OFFICE
1,s1 J300000
01 GEN 100.00
�«<c}0000
01 GEN .50
ihIECK TL 100.50
REMARKS:
FEE SUMMARY:
Luse Fee $100.00
Surcharge ---------- f -5Q
Total Fee $100.50
App1 icaiit ._
�1=i R` TQP :TTE LEF'TIG 544P.2176 1 !�MAVRICE
4980 COUNTY RD 10 E SSCI LONG LAKE RD E
CHASE A MN bb:31 c8 MN !CSC{56
(512) 440-2176
1 HE UNDER{; I GNE I) HE RE PY PE RM I'=;S 10N 10 MAKE THE REAL I MPR0VEMF NTS
SPECIFIED AND AGREE` T1� Do ALL WORK. IN '3 f R I C T CI]MPL 1 ANCr: W C TH ALL CITY OF
IR0N0 C IRD I NANC:ES AND .;'FATE: C1� M 1 NNE �--;CITA PU I LLB I NG C:1_IDE RE:OU I RE ME NT' .
L J
APPLICANT PERMITEE SIGNATURF
ISSUED BY SIGNATURE