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HomeMy WebLinkAbout2002-P05068 - sewer repair - � - PERMIT CITY OF ORONO Permit ►vumber: 2750 Kelley Parkway - PO Box 66 Poso6s Crystal Bay, Minnesota 55323 Permit Type: Sewer and water Permit (952) 249-4600 Date Issued: 4i22i2oo2 SITE ADDRESS: 875 Forest Arms La Mound,MN 55364 P I D: 07-117-23-12-0014 DESCRI PTION: Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Repair DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Perrriit Fee: $ 35.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Sunset Construction Inc. OWNER: Mike Brabeck 1351 Cty. Rd. 83 875 Forest Arms La Maple Plain,MN 55359 Mound,MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ,.. , , � r;�.'.._....;..'" �=-4--�-.._. ,'l-1� -�,,�� ���ti- �'/'' APPLICANT PERMITEE SIGNATURE ISSU D j jSIGNATURE c� ,J Copies: 1-File(SiQnitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 1.., � ^ • •• •• '• ••••••" •���T�T��� , � �YI- I �VV\/VVL 1 JLJ •� .� ��. : "'r' ,'�'", ''�` , , , , �. " .�. �;,.'`''�ar... . '.�.. _ ��r,,'. ,�0�'�;OR�ONO.�' �'"��J � � � � �.A:P L•ICAT�O , �FOR`Y7T� T"S,'.�PE '� � � � ��I�'Y, ,..,, . s � -. . .�' , N ��'S.�:�:�. � . , :t : : � � :Box 66:(275��Kelloy'�park�vay}'.��� . ;'��� • . ��5����W'�ATE�t..� . � . � . � �° : ,.,, , . , . . �f. , �;. . �. . � , � �C�rysta�;'Ba� ;�1'IN�:.5S323., . . 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