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PER: lr <br />CITY OF ORONO <br />1315 Browli Hd South • N i , BOX E:r. <br />C rystal B.ey FA ronw,,ota 55'i: l <br />473 35 <br />WE ADDRESS: <br />4 5S <br />T__L}}N <br />�S 61O0711 N-2C�- 2 4-(K► i �i <br />i EMARKS <br />FEE SUMMARY: <br />PERMIT TYPE: <br />Number <br />Coatt+ Issued <br />FERNDALE RD N <br />�rw�r h Water Permit Type SEPTIC SYSTEM <br />Sewer & Water Work Type RESIDENCE <br />Base Fee $75.00 <br />Surcharge -------- --1-5. 1 <br />Total Fee $7S SO <br />SEWER h WATER <br />r,02-3ISS <br />06i 26190 <br />1 1 to ' ' QfMCE <br />LA�4'tLFPI <br />#. X410 MAI .ter 1 11 -P <br />CONTRACTOR: OWNER: <br />-- Applicant -- <br />CLOVER HILL COMPANY I NC S65-348:34 LAUER HOME':-, I NC <br />I! RT I, PCIX 372' A 120 GIOLCIN:_. POINT RO <br />WAVERLY MN SS330 TONKA 6AY 111V JJJ•J� <br /><61 i b6o-4o:�4 473-11:i14 <br />THE UNDERSivNED HEREBY REQVE'3TS PERMISSION TO MAk;E THE REAL IMPROVEMENTS <br />SPECIFIED AND AGREES TO DO ALL WOPK IN c;TF,'I('T COMPLIANCE WITH ALL C.1:Y OF -' <br />I)CONO ORD I NANCE'� AND ' iA tE I -IF M i NN :SI=� TA E cU I LD I NG REt/OtREMEN TS . <br />APPLK;ANI HtilMITLF likshAi,•HI ! 9r •K NAt(j4L � -- <br />