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PERMIT <br /> CITY C-: ORONO <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Po�964 <br /> Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Pernut <br /> (952) 249-4600 Date Issued: 9�20�2004 <br /> SITE ADDRESS: 793 Boulder Dr <br /> I.ong Lake,MN 55356 <br /> PID: 33-118-23-11-0013 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Pemut Class: General <br /> Permit Type: Sewer and Water Permit Pemut Sub-type(s): Sewer&Water Connections <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> SAC Paid on 9/9/04 P07896 <br /> FEE SUMMARY: Permit Fee: $ 70.00 <br /> Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 70.50 <br /> APPLICANT: �'estonka Water& Sewer OWNER: 7ohn Terrance Homes,LLC <br /> 6501 County Rd 15 8266 Xene 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 STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> � <br /> ' C��I z�1 <br /> C.� c . <br /> APPLICANT P ITEE SIGNATURG ISSUED BY SIGNATURE <br /> Copies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 <br />