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� PERMIT <br /> CITY OF ORONO Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 P07756 <br /> Crystal Bay, Minnesota 55323 Pet-mit Type: Sewer and Water Permit <br /> (952) 249-4600 Date Issued: �i2�i2ooa <br /> SITE ADDRESS: 2695 Kelly Ave <br /> Excelsior,MN55331 <br /> P I D: 20-117-23-14-0008 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Sub-type(s): Sewer&Water Disconnecti< <br /> Permit Type: Sewer and Water Permit <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: Don Wayne Exc. Inc. OWNER: Charles&Roseanne Simpson <br /> 4960 Co.Rd. 10 E 2695 Kelly Ave <br /> Chaska,MN 55318 Excelsior,MN 55331 <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 SI'ATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> , <br /> ; ;, ., <br /> � � <br /> � ��-.����� � { `� � �. ���`-�� <br /> . � <br /> A PLICANT PE E SIGNATURE ISSUED BY SIGNATURE <br /> Cooies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 <br />