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� <br /> PERMIT <br /> C I TY O F O RO N O Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 P06999 <br /> Crystal Bay, Minnesota 55323 Permit Type: seWer ana water Pe�t <br /> (952) 249-4600 Date Issued: 11i13i2oo3 <br /> SITE ADDRESS: 1265 Bracketts Point Rd <br /> Wayzata,MN 55391 <br /> PID: ii-i1�-23-32-ooio <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Disconnect <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pernuts required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 35.50 <br /> APPLICANT: Westonka Water& Sewer OWNER: Micheal&7orja Lynn <br /> 6501 County Rd 15 1265 Bracketts Point Rd <br /> Mound,MN 55364 Wayzata MN 55391 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> �,... , <br /> � ` f/'� ��: �� <br /> �? - --r � <br /> APPL[CANT PERMITEE SIGNATURE SCJED BY S[GNA�URE <br /> Copies: 1-File(SiQnitures ReAuired). 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 <br />