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PERMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> 1335 Brown Rd. South • P.O. Box 66 Permit Number: i)i_)>00472 WATER <br /> �.7'�i <br /> Crystal Bay, Minnesota 55323 Date Issued: 10/21/q2 <br /> (612) 473-7357 <br /> SITE ADDRESS: <br /> 998 W I LDHURST TR <br /> JB <br /> P . I .N. : 07-117-23-13-0216 <br /> DESCRIPTION: <br /> Sewer i Water Permit Type SEWER CONNECTION <br /> Sewer Si Water Work Type RESIDENCE <br /> 131JJVL VlVV Ti <br /> .54 tCA/ 7i! [ l <br /> V.L VLft L.•L'•VV <br /> 1222200 000 /Sf <br /> A l i in/ rr1 <br /> V1 L•Llt •,JV <br /> Ti ''"f M! <br /> _•/1_411 !1•VV <br /> i'•L'r'CTiiT_%'i:nl% ' °irii <br /> 1CL 4L1! 1 IIIRIt1% i L'Lr <br /> Ti a.'V1JV C001 V1 11V1 7-11:-43 <br /> J.V: <br /> REMARKS: <br /> FEE SUMMARY: <br /> Base Fee $30. 00 <br /> Surcharge $-50 <br /> Total l Fee $30. 50 <br /> CONiTRACTOR: - App I i c ant• - OWNER: <br /> { F BG2932521 b AAOE ROBERT <br /> 16001 MINNETONF-:.A INDUST RD 998 WILD}-URST TR <br /> M I NNETONKA MN 55345 MOUND MN 55364 <br /> (612) 93:::,-7717 <br /> T <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS <br /> SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF <br /> ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> L <br /> .moi = 19 <br /> • <br /> APPLICANT'PERMITEESIGNATURE ISSUED BY:SIGNATURE <br />