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PERMIT <br /> IbITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 SEWER & WATER <br /> Crystal Bay, Minnesota 55323 Permit Number: )08286 <br /> (612)473-7357 Date Issued: 08/22/96 <br /> SITE ADDRESS: <br /> :330 T{:1Nk:A AVE <br /> LSV <br /> P. I . N. : 05-117-Z-3-14-0040 <br /> DESCRIPTION: <br /> SEWER CONNECT <br /> Sewer & Water Permit Type SEWER CONNECTION <br /> Sewer & Water Work Type RESIDENCE <br /> REMARKS: <br /> FEE SUMMARY: <br /> Base Fee $ t�0 <br /> Surcharge 1-EQ <br /> Total Fee --------i�,5. so <br /> CONTRACTOR: - Applicant - OWNER: <br /> W I DIMER INC 24461495 CHR I=.'TENSEN DAVID <br /> Pit BOX 219 330 TONKA AVE <br /> :T BON I FAC I t JS NN S x,75 ORONO MN SS 3S6 <br /> (612) 446-149S (612)941-4862 <br /> 7. <br /> THE VVI)RSI C IEI EIV"HERESY REQUESTS '"PERM I SS I M T � "I AIDE .TSE "REAL i i�+ll"�f i�MEN1 S s <br /> SPECIFIED AND AGREES ," .L IQ I N STR T C" #�I AIS I T)4" At <br /> L_ 0Rn-NO GRD I NANC:ES' ANS} "ST/�TE° DE MINNESOTA"�`I L:D I NCS '� REQU I�MENTS, <br /> z <br /> APPLICANT/PERMITEE SIGNATURE 417 ISSUED BY:SIGNATURE <br />