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PERMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 :EWER h WATER <br /> Crystal Bay, Minnesota 55323 Permit Number: 008279(612)473-7357 Date Issued: 08/119/196 <br /> SITE ADDRESS: <br /> 3:30 TONKA AVE <br /> CH <br /> P. I .N. ' 05-117-23-14-0040 <br /> DESCRIPTION: <br /> BALANCE OF SAC <br /> `..ewer b Water Permit Type SAC ONLY <br /> Sewer h Water Work: Type RESIDENCE <br /> REMARKS: <br /> BALANCE t�F SAC FEE - #5I46 WAS ISSUED 5/17/93 IN AMOUNT OF $750 BUT Ce iNNEC:TI <br /> ON NEVER MADE - CONNECTION WILL BE MADE THIS YEAR. <br /> FEE SUMMARY: <br /> Case Fee -------11 5Q-t�i� <br /> Total Fee $150. 00 <br /> CONTRACTOR: OWNER: - Applicant. - <br /> CHR I STENSEN DAVID <br /> 330 TONt:A AVE <br /> ORON13 MN 55:355 <br /> THE UNDERSIGNED HEREBY REQUESTS PERM ISS I0N"T MW-E,,-,.'THE�,iJR *. J <br /> SPECIFIED <br /> EC:IFIED AND AGREES TG. ,.. <br /> D6 A L;. I RK IN St"01 T W4KT "Ty' <br /> L_ 3JN �RL�ItvAi� r.p� NO STATE: 100MINNESOTA <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE_,4C-y <br />