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. <br /> � - � PERMIT <br /> CIT'�,� OF ORONO Permit Number: <br /> 2r�� Kelley Parkway - PO Box 66 P03358 <br /> Crystal Bay, Minnesota 55323 Pe►'mit Type: Sewer and Water Permit <br /> (612) 249-4600 Date Issued: 12i�9i2o <br /> SITE ADDRESS: 430 [.ong Lake Rd E <br /> WAYZATA,MN 55391 <br /> PID: 35-l 18-23-14-0005 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Connection <br /> DETAILS: <br /> Approved per resolution #: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 35.50 <br /> APPLICANT: w�DMER INC OWNER: LO[S M STURMAN <br /> BOX 219 430 LONG LAKE RD E <br /> ST. BON1, MN 55375 WAYZATA MN 55391 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TOMAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND <br /> STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> i <br /> ����� � � r��<.-c-�e� 6h-� ,� <br /> APPL[CAN"I'PGRM[TEE GNATURE �'� SSUED BY SIGNATURE <br /> Copies: City,Applicant, Assessor,Finance Page 1 <br />