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PERMIT <br /> C I TY O F O RO N O Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 P03160 <br /> Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit <br /> (612) 249-4600 Date Issued: ioi2oi2o <br /> SITE ADDRESS: 430 Long Lake Rd E <br /> WAYZATA,MN 55391 <br /> P I D: 3 5-118-23-14-0005 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: Sewer and Water Permit Permit Sub-type(s): SAC Only <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: valuation: $ 0.00 <br /> SAC Fee: $ 1,100.00 <br /> TOTAL FEE: $ 1,100.00 <br /> APPLICANT: OWNER: Lois M sTuxMarr <br /> 430 LONG LAKE RD E <br /> 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 /> � 0� �� '�.N�/ -�.-e (�f'!7�K- �"Yi <br /> L�.� � R,� G <br /> APP I ANT PERMITE �I NATU � ISSUED BY SIGNATURE <br /> Copies: City,Applicant,Assessor, Finance Page 1 <br />