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PERMIT <br /> CITY OF ORONO PERMIT TYPE: SEWER b WATER <br /> 1335 Brown Rd. South - P.O. Box 66 Permit Number: 004S12 <br /> Crystal Bay Minnesota 55323 Doe Issued: 11/23/92 <br /> (612) 473-7357 <br /> SITE ADDRESS: <br /> 2480 OLD BEACH RID <br /> P , I , N . : 21-117-23-22-0004 <br /> DESCRIPTION: <br /> WATER CONNECTION <br /> Sewer 6 Water Permit Type WATER CONNECTION <br /> Sewer & Water Work Type RESIDENCE <br /> REMARKS: <br /> FEE SUMMARY: T <br /> F140410-Er, EFF."rLIL. <br /> Base Fee <br /> Surcharge -------------- <br /> Total Fee $30 . SO [HIEL"I"' Ti i0l.5Z-11 <br /> 1:,T- 7i;-;*' ikik' <br /> 'vi rij <br /> CONTRACTOR: - Applicant - OWNER: 111 KE <br /> WIDMER IN( 24461495 MODRESS <br /> PO BOX 219 2480 OLD BEACH RID <br /> 'IRONO 5539i <br /> ST BONIFACIUS MN 55379 MN <br /> (612) 446-149S <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS <br /> SPECIFIED AND AGREES TO DO FILL. WORK IN STRICT COMPLIANCE WITH ALL CITY OF <br /> OIRI-Dr-411:f ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREM <br /> L ENTS . <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />