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PERMIT <br /> C�TY OF ORONO <br /> 27;�0 Kelley Parkway- PO Box 66 Permit Number: p1003o <br /> Crystai Bay, Minnesota 55323 Permit Type: <br /> Sewer and Water Pernut <br /> (952) 249-4600 Date Issued: 6/26/2006 <br /> SITE ADDRESS: 3565 Frederick St Unit# <br /> Wayzata,MN 55391 <br /> P��� 20-117-23-12-0018 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: <br /> Sewer and Water Permit Permit Sub-type(s): Sewer&Water Connections <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Pernut Fee: $ 70.00 valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 70.50 <br /> APPLICANT: Westonka Sewer&Water OWNER: Minnetonka Custom Homes,Inc. <br /> 6501 Co. Rd 15 6175 N Sinclair Rd. <br /> Mound,MN 55364 Mound,MN 55364 <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 REQUIR NTS. <br /> � <br /> C�— �-'<_;,�� � � �✓��' � ___--�-,`c"��'�� <br /> :� %✓,—!' /�'i,' <br /> APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE <br /> Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 <br />