HomeMy WebLinkAboutSAC determination SAC DETERMINATION - 2010
(In-House Use Only)
Date Completed: �"��" �� Date Determination Expires: 12/31/�O
Address: 3530 ��'� s� �,
PID: D�II7" 2� � 73^06/�
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SAC Due: ❑ Yes �No
If Demo Permit Being Issued—Get Copy of Utility Bill to Attach to Demo Permit: ❑ Attached .
Comments to Key on Permit: �C �-�✓v�� ���G�'�'!� '" ����T"'�� �
Notes:
Completed By: �/`�,� /� Date Completed: �z� �D
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Note:
• This form is for residential properties only that are already in a sewer area
• Any commercial, industrial, religious or schools—determinations are made by Met Council in a letter
format(Lyle is contact personJ
• Not for properties currently on septic, wantinq to hook-up to sewer for first time. These properties may
not qualify, or may have to pay large sewer assessments in addition to SAC
(Scott is the contact person)
3530 NORTHSHORE DR 04/13/2010
For Service From: 01/01/10 To: 03/31/10
PREV BAL •�� 2-535300-00
SEWER FLAT 109.72
$127.30
STORM WATER 11.33
RECYCLING 6.25
After: 5/11/2010 Pay 137.49
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ACKERMANN, GERALD
15166 WOOD DUCK TRAIL
05/11/2010 $137.49 PRIOR LAKE MN 55372
$127.30
ONLINE PAYMENT AVAILABLE-GO TO OUR WEBSITE @ WWW.CI.ORONO.MN.US
2-535300-00
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