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PERMIT <br /> C I TY O N O Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 Po33o1 <br /> Crystal Bay, Minnesota 55323 Permit Type: Sewer and water Permit <br /> (612) 249-4600 Date Issued: iti2vz.o�z <br /> SITE ADDRESS: 2155 Shevlin Dr <br /> WAYZATA,MN 55391 <br /> P ID: 03-1 17-23-34-0006 <br /> � <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit T e: Sewer and Water Permit Permit Sub-type(s): Sewer Connection <br /> YP SAC Only <br /> DETAILS: <br /> Approved per resolution #: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUII�MARY: Permit Fee: $ 35.00 Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> SAC Fee: $ 1,100.00 <br /> TOTAL FEE: $ 1,135.50 <br /> APPLICANT: SULLIVAN'S UTILITY SERVICES OWNER: J&J PAULSON <br /> 3660 HWY 101 S 2155 SHEVLIN DR <br /> WAYZATA, MN 55391 WAYZATA MN 55391 <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 <br /> STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> , , C ��c� �-, <br /> APt I ' ITEE SI NATURE - I�ED BY SIGNATURE <br /> Copies: City,Applicant, Assessor,Finance Page 1 <br />