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PERMIT <br />CITY OF ORONO <br />1335 Brown Rd. South e P.O. Box 66 <br />Crystal Bay, Minnesota 55323 <br />(612) 473-7357 <br />SITE ADDRESS:3211 BAYS IDE RD <br />PERMIT TYPE: <br />Permit Number: 09/14/87 <br />Dale Issued: <br />DESCRIPTION: <br />8ewe.‘r Water Permit Type WELL <br />Sewer & Water Work Type RESIDENCE <br />FEE SUMMARY: <br />Base Pee <br />Surcharge <br />Subtotal <br />$.00 WELL <br />_______Total <br />$..50 <br />_________ <br />$30..50 <br />WZSACTOR: <br />8790 HWY 12 E <br />DELANO MN <br />(812.1 972-8340 <br />— Applicant — <br />49723340 <br />5532S <br />»ER: <br />P.ci. <br />-lOPKINS <br />935-7947 <br />ROLLAND <br />BOX <br />MN <br />831 <br />“^1 ‘sU. rvucciH ^ />»/■/- Q/>^ t/Ds.//, <br />[— THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS <br />L SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF <br />Q_ ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br />Q __ <br />ISSUEfiTBY: SIGNATUF^ <br />“1 <br />^LICANT/PERMITEE SIGNATURE