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PERMIT <br />CITY OF ORONO PERMIT TYFb;C ‘C.*» IC'D 7 1 lATETC* <br />1335 Brown Rd. South • P.Q. BOX 66 Permit Nu Tihdr:bhWhh « WH 1fcn <br />001060Crystal Bay. Minnesota 55323 Date Iss'ed:07/28/88(612)473-7357 <br />SITE ADDRESS: <br />1412 BALDUR PARK RO <br />pin: os-117-2.3-34-00 us ____ <br />DESCRIPTION: <br />Sewer & Water Permit Type WELL <br />Sewer & Water Work Type REPLACE EXISTING <br />REMARKS: <br />SITE MUST BE OKAY’D BY CITY STAFF. SUBMIT COPY OF STATE WELL RECORD. <br />FEE — <br />Etase Fee $.00 WELL <br />Surcharge ___$..50 Total Fee taO.SO <br />Subtotal $..50 <br />CONTRACTOR:- Applicant —OWNER: <br />STOOOLA DON WELL CO 49:382111 HAGFORS CURTIS <br />15306 HWY 7 1412 BALDUR PARK RD <br />MINNETONKA MN .5.5345 WAYZATA MN 5.5:391 <br /><612.'» 938-2111 <br />THE UNDERSISNEC HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS <br />AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF <br />- -ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br />RMITEE SIGNATURE isr^fc BY: SIGNATURE U