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TT-t <br />PERMT <br />CITY OF ORONO <br />1335 Brown Rd. South • RO. Box 66 <br />Crystal Bay, Minnesota 55323 <br />(612) 473-7357 <br />PERMIT TYPE: <br />Permit Number; <br />Date Issued: <br />water <br />04/27/92 <br />SITE ADDRESS: <br />140 BROUN RO S <br />LSV <br />P.I.N.: 03-117-23-12-0011 <br />DESCRIPTION: <br />REPLACE EXIST SYSTEM <br />Sewer & Uater Permit Type DRNFLD &/0R TANK <br />Sewer & Water Work Type RESIDENCE <br />V' *,'> i- . " <br />. -A . ■ - ■ • <br />M rN. V- *• <br />w 1 <br />REMARKS u' - i4‘; • A <br />ORONOl <br />FEE SUMMARY:-------r tf^r/ ' <br />‘viVa iim <br />Base Fee <br />Surcharge <br />Total Fee <br />♦50.00 <br />t^SQ♦50.50 <br />cm OF ORONO <br />FINANCE OFFICE <br />1313300000 ^ ^ # <br />01 QEH 50.00 <br />1222200000 # <br />01 GEN .50 <br />P J CO <br />RR 2 BOX 226 <br />DELANO MN <br />(612) 471-8151 <br />Applicant - <br />54718151 <br />55328 <br />’mrTF <br />OWNER: <br />COLEMAN DOUGLAS140BROWN RD SORONOMN 55356 <br />THE U^K)ER8IG^E0 HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS <br />SPECIFIED AND AGREES TO 00 ALL WORK IN STRICT ^LlScE WITH A^Cm 0^ <br />ORONO ORDINANCES AhIO STATE OF MIhMESOTA BUILDING CODE REQUIREMENTS. <br />L,J <br />APPLICANT PERWIITE SIGNATURE ISSUED BY SIGNATURE ^y^t