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PERMIT <br />CITY OF OR NO <br />PERMIT TYPE: iEWEN % WATER <br />1335 &own R4. South • P.O. <br />Box fib <br />PWd Numtw, 01 /1 Ile* <br />Cfyalal Bay, MinnestNa 5539 <br />Deb ime4: <br />18121 4734357 <br />SITE ADDRESS: <br />ltoo <br />BRACFETT:3 <br />POINT RD <br />DESCRIPTION: <br />Sewpr <br />& Water <br />F'eruut Type <br />DRA1NFLD & TANK <br />Sewer <br />& Water <br />Work Type <br />RESIDENCE <br />ku�(. Fpp a.0(. SEPTIC SYSTEM --------&ZQ-Q4 <br />Surcharge __________ S-59 Total Fee $30.50 <br />Subtotal $.50 <br />CONTR�40Tg1 r __ APPltcant -- ER: <br />ULL1V RVI.ES INC .547.34300 A L <br />3(60 HYV 101 S ]500 SNACGETTS POINT RO <br />WAYZATA MN 55391 WAYZATA MN SS391 <br />(612) 473-4300 <br />REMAR�C�S <br />CONNF T CMl TO LAf.GS11CR4- COTe AGE SYSTEM <br />F THC UNBERSIGNEO HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS <br />SP6C:IFIED AND AGREES TO DO ALL WORK IN STRICT CCMIPLIANCE. WITH ALL CITY OF <br />.. ug2LM ORDINANCES AND -STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br />�� nl <br />,• � IPEAM 1017170E ISSUED BY: I N& <br />