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CITY QF OR NO P�RMIT <br /> 2750`,'.elley Parkwa -OPO Box 66 Permit Number: Po42�2 <br /> Y <br /> Crystal Bay, Minnesota 55323 Pet'mit Type: Sewer and Water Permit <br /> (952) 249-4600 Date Issued: si3oi2oo� <br /> SITE ADDRESS: 1520 Bohns Point Rd <br /> Wayzata,NW 55391 <br /> PID: 09-117-23-33-0006 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Disconnect <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 800.00 <br /> State Surcharge Fee: $ 0.50 <br /> Misc. Fee: $ 1.50 <br /> TOTAL FEE: $ 37.00 <br /> APPLICANT: Vogt Heating&Air Conditioning OWNER: Douglas Kirchner Etal <br /> 3260 Gorham Ave 1520 Bohns Point Rd <br /> St. Louis Park,MN 55426 Wayzata MN 55391 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> � ' <br /> �l ��_r: ����C l r� ��'% <br /> APPLICANT PERMITEE SIGNATURE ISSUED Y SIGNATURE <br /> Copies: 1-File(SiQnitures Repuired), 1-Applicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1 <br />