HomeMy WebLinkAbout2001-P04570 - SAC only CITYF ORONO PERMIT
2750'Kelley Parkway - PO Box 66 Permit Number: P04570
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(952) 249-4600 Date Issued: 10/31/2001
SITE ADDRESS: 280 Orono Orchard Rd S
Wayzata,MN 55391
PID: 02-117-23-24-0003
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Sewer and Water Permit Permit Sub-type(s): SAC Only
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Valuation: $ 0.00
SAC Fee: $ 1,150.00
TOTAL FEE: $ 1,150.00
APPLICANT: Owner/Self OWNER: Dick&Victoria Raiche
MN 280 Orono Orchard Rd S
Wayzata MN 55391
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.
APPLICANT PERMITEE SIGNATURE IS SU BY SIGNATURE
Conies: 1-File(Si&nitures Required). 1-Applicant. 1-Monthly Reports. 1-Assessing. I-Finance Page 1
City of Orono
P.O. Box 6655323
Crystal Bays.
(952)249-460u
10/31/01 11:47:24
•
Customer: 60 OR
ORCHARD RD S
PERMITS -1 @ RAL
0.00 0.00
Base Feel @ 0.00 0.00
Plan Review 0.00 0.00
Mail in l @s 0.00 0.00
State Surcharge 0.Q0 0.00
SAC Charge
@ 1150.00 1150.00
Investigation Fee 0.00 0.00
SUBTOTALBTOTRL
11150.00
TRX 1 150.00
00
TOTAL SALE. 150.00
Check Received 0.00
COANGE
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