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PERMIT <br /> CITY C?F ORONO <br /> 2750 K,ciley Parkway- PO Box 66 Permit Number: Pos2so <br /> Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Pernut <br /> (952) 249-4600 Date Issued: i2iioi2oo4 <br /> SITE ADDRESS: 1690 Shadywood Rd <br /> Wayzata,MN 55391 <br /> PID: i�-ii�-23-2i-ooi� <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Pernut Type: Sewer and Water Pernut Pernut Sub-type(s): Sewer&Water Connections <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pernuts required: <br /> NOTICES/REMARKS: <br /> SAC Grandfathered In#1552-07/17/67 <br /> FEE SUMMARY: Pernut Fee: $ 70.00 <br /> Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 70.50 <br /> APPLICANT: Widmer Construction LLC OWNER: 7ames&Darcey Loffler <br /> 9455 County Rd. 15 1690 Shadywood Rd <br /> Maple Plain,MN 55359 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 /> �- � , - <br /> .... � . . , <br /> , <br /> � . . <br /> v� �=y���--�. � C ( �- �12 c � r'i �`�� <br /> APPLICANT PERMITEE SIGNATURE ISS[JED Y SIGNATURE <br /> Cooies: 1-File(SiQnitures Required), 1-Apolicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1 <br />