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� � PERMIT <br /> CITY OF ORONO Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 Pogss2 <br /> Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit <br /> (952) 249-4600 Date Issued: 3�3o�2oos <br /> SITE ADDRESS: 754 Boulder Dr <br /> L.ong Lake,MN 55356 <br /> PID: 33-118-23-I 1-0014 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Pernut Class: General <br /> Permit Type: . Sewer and Water Pernut Pernut Sub-type(s): Sewer&Water Connections <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Perniit Fee: $ 70.00 Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 70.50 <br /> APPLICANT: Westonka Sewer&Water OWNER: Dahlstrom Development LLC <br /> 6501 Co. Rd 15 7745 Polaris Lane <br /> Mound,MN 55364 Maple Grove,MN 55311 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SfATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> ...� �-�11��C��- <br /> . <br /> APPL[CANT ITEE SI TURE ISS�IGNA7'URE <br /> Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, i-Finance Page 1 <br />