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PERMIT <br /> C�TY �F �R�N� Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 Posssi <br /> Crystal Bay, Minnesota 55323 Pe►'mit Type: Sewer and water Permit <br /> (952) 249-4600 Date Issued: 3�3o�2oos <br /> SITE ADDRESS: 752 Boulder Dr <br /> L.ong Lake,MN 55356 <br /> PID: 33-118-23-11-0015 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Pernut Class: General <br /> Permit Sub-type(s): Sewer&Water Connections <br /> Permit Type: Sewer and Water Pernut <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pernuts required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 70.00 <br /> Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 70.50 <br /> APPLICANT: Westonka Sewer&Water OWNER: Dahlstrom Development LLC <br /> 6501 Co. Rd 15 7745 Polaris Lane <br /> Mound,MN 55364 Maple Grove, MN 55311 <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 /> � t <br /> ��� T ` � ,-� � c.�_ <br /> ��i�h � L--� <br /> APPLICANT PERMITEE SIGNATURE ISSUED BY S[GNATURE <br /> Copies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Reports. 1-Assessine, 1-Finance Page 1 <br />