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v 1 <br /> PERMIT <br /> CITY OF ORONO <br /> 2750 Kelley Parkway- PO Box 66 Permit Number: p11576 <br /> Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Pernut <br /> (952) 249-4600 Date Issued: <br /> l0/15/2007 <br /> SITE ADDRESS: 3768 North Shore Drive Unit# <br /> Wayzata,MN 55391 <br /> PID: 08-117-23-34-0063 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: <br /> Sewer and Water Permit Permit Sub-type(s): Sewer&Water Disconnecri� <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 70.00 Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 70.50 <br /> APPLICANT: Bohnsack&Hennen Excavating OWNER: Nancy Blair <br /> 17072 Revere Way 5501 Village Dr <br /> Prior Lake,MN 55372 Edina,MN 55439 <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 /> � C�o'�-{�`--✓L <br /> APPLICAN P T NATURE IS UED BY SIGNATURE <br /> Copies: 1-File(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1 <br />