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PERMIT <br /> CITY OF ORONO Permit Number: <br /> -2750 Kelley Parkway- PO Box 66 P10146 <br /> Crystal Bay, Minnesota 55323 Permit Type: Septic <br /> (952) 249-4600 p <br /> Date Issued: 7/25/2006 <br /> SITE ADDRESS: 85 Old Crystal Bay Rd S Unit# <br /> Long Lake,MN 55356 <br /> PID: 04-117-23-21-0004 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: Septic Permit Sub-type(s): New Septic System <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 100.00 Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 100.50 <br /> APPLICANT: Hayes&Sons Exc. Inc. OWNER: Scott&Michelle Miller <br /> 263 82nd Street S.E. 85 Old Crystal Bay Rd S <br /> Montrose,MN 55303 Long Lake MN 55356 <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 /> "U`—t404141(‘") <br /> APPLICANT PERMIT ATURE ISSUED BY SIGNATURE <br /> Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 <br />