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PERMIT <br />CITY OF ORONO <br />2750 Kelley Parkway • P.O. Box 815 <br />Orono, Minnesota 55356-0815 <br />(612) 473-7357 <br />SITE ADDRESS: <br />1r,.5 <br />LSV <br />DESCRIPTION: <br />FOX SF <br />PERMIT TYPE: <br />Permit Number: <br />Date Issued: <br />NEW SYSTEM <br />'.:ewer &{ Water Pei-rliit. Type NEW SEPTIC: SYSTE <br />'_:ewer & Watts We-rk: Type RE'_:IDENC:E <br />REMARKS: <br />,:EWER & WATER <br />oCl.5*2i11 <br />CITY OF MW <br />t IMW OFFICE <br />1 JIBOM J <br />Ora 11"Av <br />1««00400 J <br />01 4M .50 <br />cck R 100.50 <br />RECEIPT-TM4l * YOU <br />#2 745b0 C001 R01 T 007: <br />FEE SUMMARY: i <br />Base Fee $1(T() 00 <br />'_:urchar-3,—I�.��L) <br />Tc-tal Fee-------$100.50 <br />CONTRACTOR: - App 1 i c all t - OWNER: <br />PETER'_:C' iN ELMER _T caj 54718151 JENSEN HOMEr: <br />5921 DAGUE AVE '=:F_ 900 WAYZATA BLVD E <br />DELANO MN SS:=:28' WAYZATA MN 55391 <br />c 612':> 4 71-:31.51 <br />THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS <br />SPECIFIED AND AGREES TO Di i ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF <br />ORONO ORDINANCES AND STATE OF MINNESCiTA BUILDING CODE REQUIREMENTS. <br />L_ <br />APPLICANT ERMITE IGNATURE ISSUEDBV SIGNATURE <br />