HomeMy WebLinkAbout1987-10-06 App. & Permit, Water Well-2Pgs #000276PERMIT
SEWER b WATER
CITY OF ORONO PERMIT TYPE: 01102276
1335 Brown Rd South • P.O. Box 66 Permit Number.
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357
SITE ADDRESS' .
DESCRIPTION:
Water Permit Type WELL
=wer & Water Work: Type RESIDENCE
FEE SUMMARY:
Baser F ef, S; . C)C)
Sub tc.ta1 $ . SO
W- k-F ACTO&LL INC B 7
MAPLE PLAIN MN 55359
(611) 479- :1t 1
WELL.
T-3t.al Fee $3'o . so
447_T31::1 )Qls>'VNER: TOM
170CW. 'SADDLEWOC)D TR
MINNET13NKA MN 55345
( E-12') I.P"':6-7L ":0
RUMPKI&T 13K SITE; COPY 13F 'STATE: WELL RECORD TO BE SUBMITTED TO THE CITY
C)FF l (:EL -
THE UNDER, I GNEI) HE RE PY RF OUE ETE: PERM I ' *; J CIN TO MAR: E THE REAL IMPROVEMENTS
' PEC I F I Eta AND AGREES TO 013 ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
ORONO l-rRU I NANC:E : AND :t:TA1 E 174- M I NNE-SCITA BU I L-D 1 NG C:c 4)E f�EWt.J 1 RE.ME NTS .
4-tP�ICA_N_T/ ERMITE SIGNATURE
ISSU BY SIGNATURE
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