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PERMIT <br /> C I TY O F O RO N O Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 P07940 <br /> ��rys%�� Bay, Minnesota 55323 Permit Type: septi� <br /> (952) 249-4600 Date Issued: 9i2oi2oo4 <br /> SITE ADDRESS: 785 Ferndale Rd N <br /> Wayzata,MN 55391 <br /> PID: 36-i is-23-11-ooi2 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Pernut Class: General <br /> Permit Type: Septic Permit Sub-type(s): New Septic System <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 100.00 <br /> Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 100.50 <br /> APPLICANT: Elmer J. Peterson Company OWNER: Michelle&Thomas Cullum Jr <br /> 5921 Dague Ave SE 785 Ferndale Rd N <br /> Delano, MN 55328 Wayzata MN 55391 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> , <br /> � C � ��'�'2 ��=�"1. /2;,� <br /> ANT PERMITEE SIGNATURE IS ED BY SIGNATURE <br /> Conies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1 <br />