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� PERMIT <br /> C I TY O F O RO N O Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 Po3391 <br /> Crystal Bay, Minnesota 55323 Pet'mit Type: Sewer and Water Permit <br /> (612) 249-4600 Date Issued: 12i12i2o <br /> SITE ADDRESS: 3750 Bayside Rd <br /> LONG LAKE, MN 55356 <br /> P I D: O S-117-23-21-0023 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Connection <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 35.50 <br /> APPLICANT: coPPIN PLUMB�rr� OWNER: �ARY K vaLE�us <br /> 5089 SHORELINE DR 3760 BAYSIDE RD <br /> MOUND, MN 55364 LONG LAKE MN 55356 <br /> THE UNDERSIGNED HEREBY REQUESTS PERM[SSION TO MAKE THE REAL 1MPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND <br /> STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> / , Zti�,.��� �G�rtJ � <br /> APPLICANT PERMI"I'EE SIGNATURE [ UEDBY SIGNATURE <br /> Copies: City,Applicant,Assessor, Finance Page 1 <br />