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PERMIT <br />CITY OF ORONO <br />1335 Brown �id. South • P O. BOX 66 <br />Crystal Bay. Minnesota 55323 <br />1612, 473 7357 <br />E SITE ADDRESS: <br />LAk::E: ST E <br />PERMIT TYPE: <br />Permit Number. <br />Date issued <br />6tffl & WATER <br />10/04/88 <br />P.I.N 0S-117-2:3-1--3-0040 <br />DESCRIPTION: -- ---- -- -- <br />ar��t�� CIF ONE TANK' <br />Sewer & Wat-e Permit Typ—• DRAINFLD DR TANK <br />'_,ewer R 'Watt r Wc,rk Type RESIC)ENCE <br />REMARKS <br />FEE SUMMARY: <br />Base Fee <br />Surcharyr' <br />(otal Fee <br />$:30.00 <br />$ ._:0 . <br />C, T r OF Ofe 1r <br />FINANCE OFFICE <br />1.313MOCOO � <br />01 A/;1;9 30.00 y <br />i a:212001 <br />�i •tsC/� .vJ <br />7CifI�' fh4NK ?ZV <br />Pi12'L90 001 RO1 T08:06 <br />CONTRACTOR: -- Applicant -- OWNER: <br />PETERG(iN E:LMER J CU 54 7 1 r:1 �,1 MEYER tERRY <br />RR 2 613X 2-26 :3415 LAKE ST E <br />DELANO KN bS321: LONG' LAi::E MN 5b3tV• <br />0612 ► 471-•81.51 <br />F—__ <br />THE UNDERSI GNEI) HEkEE:Y REQUEST:: PERM I S.; I CGN TG Mk--1 THE REAL. IMPROVEMENTS <br />SPECIFIED AND AGREES TO DO ALL WORK IN :3TR I CT COMPLIANCE WITH ALL CITY +2F <br />ORfINO ORO 1 NONC:F. AND I ATF= OF M 1 NNE :=:(iTA 8U 1 L.C) I NC CCOE: REQUIREMENTS. <br />_ <br />APPLICANTPFI7n yi tURE By SKiNATURE <br />