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ClTY OF ORONO PERMIT <br /> 27 0 Kelley Parkway- PO Box 66 Permit Number: Po�s�s <br /> Crystal Bay, Minnesota 55323 Permit Type: seWer and water Pe�c <br /> (952) 249-4600 Date Issued: 6���2ooa <br /> SITE ADDRESS: 776 Brown Rd N <br /> I,ong Lake,MN 55356 <br /> P I D: 34-118-23-11-0001 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Connection <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pernuts required: <br /> NOTICES/REMARKS: <br /> SAC Paid#3702-O1/25/78 <br /> FEE SUMMARY: Permit Fee: $ 35.00 <br /> Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 35.50 <br /> APPLICANT: Sunset Construction Inc. OWNER: Richard Benson& Barbara Luikens <br /> 1351 Cty. Rd. 83 776 Brown Rd N <br /> Maple Plain,MN 55359 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 /> �--- <br /> i - <br /> i <br /> �f/ =� ' 'i� �1�/ <br /> � . i � L l ����� 1 n <br /> J ��,^��G�� / .�1�( - �2�j/ <br /> APPLICANT PERMITEE SIGNATURE ISSUED t3�Y SIC;N�1�U�� <br /> Copies: 1-File(Siunitures Required), 1-Applicant, 1-Monthlv Reports. 1-Assessine, 1-Finance Page 1 <br />