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' � PERMIT <br /> C I TY O F O RO N O Permit Number: <br /> 2750 Kelley Parkway- PO Box 66 Po�i2� <br /> Crystal Bay, Minnesota 55323 Pe�mit Type: Sewer and Water Permit <br /> (952) 249-4600 Date Issued: i2�29i2oo3 <br /> SITE ADDRESS: 1435 Park Dr <br /> Mound,MN 55364 <br /> P I D: 07-11'7-23-42-0020 <br /> DESCRI PTION: <br /> Proposed Use: Residenrial <br /> Perxnit Class: General <br /> Pernrit Type: Sewer and Water Pernut Permit Sub-type(s): Sewer&Water Disconnectic <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 70.00 Valuation• $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 70.50 <br /> APPLICANT: owner/Self OWNER: 7ames Martinson <br /> MN 1435 Park Dr <br /> Mound,MN 55364 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMEN'TS. <br /> `�i� ` <br /> APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE <br /> Covies: 1-File(SiQnitures Required), 1-A»ulicant, 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1 <br />