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1 PERMIT <br /> CI��' ���� ORONO <br /> 2750 Kelley Parkway- PO Box 66 Permit Number: P09280 <br /> Crystal Bay, Minnesota 55323 Permit Type: <br /> (952) 249'-4600 Septic <br /> Date Issued: l0/20/2005 <br /> SITE ADDRESS: 1580 Sixth Avenue N Unit# <br /> Long Lake,MN 55356 <br /> P��� 26-118-23-32-0006 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Se hc Permit Sub-type(s): New Sepric System <br /> Permit Type: . p <br /> 1 <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Pernrit Fee: $ 100.00 valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 100.50 <br /> APPLICANT: Hagberg Exc. OWNER: Robert Mack <br /> 18545 Roanoke St.NW 1650 North Farm Rd <br /> Anoka,MN 55303 Long Lake,MN 55356 <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 /> '1 . <br /> � <br /> LICANT PE E S ATURE ISSUED BY SIGNATURE <br /> Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 <br />