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PERMIT <br /> CFP( OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 , , „?IAF' ; WATER <br /> ,rystal Bay, Minnesota 55323 Permit Number: ;;;0/08/ <br /> ��_;, , <br /> �� Date Issued: <br /> (612)473-7357 1 `:'0 =--, <br /> SITE ADDRESS: <br /> WESTLAKE ST <br /> LSV <br /> P . I . N. . 05-117-23-23-0040 <br /> DESCRIPTION: <br /> _SEWER C:UNNE i:T I ON <br /> Sewer & Wat.ur Permit. Type SEWER C=ONNECTION <br /> Sewer ?, Water Work Type RESIDENCE <br /> REMARKS: <br /> FEE SUMMARY: <br /> Base Fee $35.00 SAC FEE _iiQ <br /> Surcharge 1-50 Total Fee $8�, 50 <br /> Subtotal $35 . SO <br /> CONTRACTOR: — Applicant — OWNER: <br /> HIGHVIEW F`LEG '7,9338600 Ft-Fps GREGG <br /> 4 :01 HIGHVIEW PL 309 WESTLAKE ST <br /> M1INi'ETONF:.A C•1N 55345 ORONO MN 535E <br /> (A13) 9:=::=:-:=u.c)0 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS <br /> SPECIFIED AND AGREES Ti:' DO ALL WORK:: IN STRICT COMPLIANCE WITH ALL CITY OF <br /> ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> 64_0 <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />