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PERMIT <br />CY OF ORONO PERMIT TYPE: <br />2750 Kelley Parkway - P.O. Box 66 Permit Number: <br />Crystal Bay, Minnesota 55323 <br />(612) 473-7357 Date Issued: <br />SITE ADDRESS: <br />670 COUNTRYSIDE OR W <br />v <br />P 1 N. ; 04-117-23-12-001--3 <br />DESCRIPTION: <br />NEW SEPTIC SYSTEM <br />Sewer & Water Permit Type NEW SEPTIC SYSTE <br />Sewer & Water Work: Type RESIDENCE: <br />!EE SUMMARY: <br />Base F, !e <br />SUrLhargt' <br />Trlta 1 F crf• <br />CONTRACTOR: <br />t! I L ;.. CCIMPANY <br />F:13 X 2.2 G, <br />E;=lra► IF'EE Mild <br />IL <br />$100.00 <br />----------- lk—ac) <br />W$100. SO <br />— App l i c alit- — <br />1, NC' 4 7 f' .: -111 C, C <br />55379 <br />OWNER: <br />.;%'Y r IGEN CCI <br />BERKSHIRE LA <br />Yf',.O Off H MN 55446 <br />WATER <br />THE UNDERSIGNED HEREBY REQUEST`.: PERMISSION TO MAKE THE REAL IMPROVEMENTS <br />SPECIFIED AND AGREES TO DO ALL W13 tt; IN STRICT COMPLIANCE WITH ALL CITY OF <br />CIRCINi I GIRD I NANC.F 3 AND !=;TATE CIF M I NNF SOTS, E,U I L.D I NG CC:DE REQUIREMENTS. <br />APPLICANT PERMITEE SIGNATURE <br />ISSUED BY. SIGNATURE <br />