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PERMIT <br /> L 1 <br /> CITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 Permit Number: '= 15E 4tI WATER <br /> Crystal Bay, Minnesota 55323 0 <br /> (612)473-7357 Date Issued: OS/21/96 <br /> SITE ADDRESS: <br /> 890 OLD CRYSTAL BAY RD <br /> LSV <br /> P. I .N. ' -q-117 :2-12-000=, <br /> DESCRIPTION: <br /> NEW SEPTIC SYSTEM <br /> Sewer u Water Permit Type NEW SEPTIC SYSTE <br /> Sewer �� Wat•er Work Type RESIDENCE <br /> REMARKS: <br /> FEE SUMMARY: <br /> Base Fee $100.00 <br /> Surcharge <br /> Total Fee $100. 50 <br /> CONTRACTOR: - Applicant - OWNER: <br /> MARTY EXCAVATING 56572543 LAKEWOOD DEVELOPMENT <br /> 7185 RUT7 LAKE RD :390 OLD CRYSTAL BAY RD <br /> MAYERMN 55. 60 ORMN 55391 <br /> _ONO <br /> (612) x,57 548 (r,12.�47.3-25:38 <br /> THE UNDERSIGNED HEREBY REQUESTS! PERMISSION To . , E THE <br /> SPCC I IED ;AND ;AGREES TO DO ALL Old:: IN STRICTG I <br /> ORONO ORDINANCES ! © STATE OF.kl ; S rtA MID IN 0� 1IR NT <br /> iM i - ✓1'n QRZ C.�C�/i(/� <br /> APP ANT/PERMITEE'i 1ATURE ISSUED BY:SIGNATURE <br />