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PERMIT <br /> CITY OF ORONO PERMIT TYPE: - <br /> 2750 Kelley Parkway- P.O. Box 66 y - `' L <br /> Permit Number: -}i-'''':=` <br /> Crystal Bay, Minnesota 55323 Date Issued: 0:7:::/r' <br /> (612) 473-7357 <br /> SITE ADDRESS: <br /> 470 oL s LONG ':LAKE RD <br /> :T G <br /> —0012 <br /> DESCRIPTION: <br /> Sewer & 1, <br /> W t.F=r Ferri yt. Type SEWFR CONNECTION <br /> ION <br /> W. t.er Work Type RESIDENCE <br /> REMARKS: <br /> FEE SUMMARY: <br /> $3x: . 00 <br /> Surcharge _.-_. _1—Ct"t <br /> CONTRACTOR: - Applicant - OWNER• <br /> W WATER ;'..1 SEW l:ii .ENC + �_}:=;`,; ? t IL_.AR <br /> 27F.0 1 ,_ , LA 470 I_;E-D L 1.1 J t; Lia}:,F.. R <br /> •a l i t _R 7::: <br /> THE UNDERSIGNED, HEREBY 'REQUES=TS PER 'S: I r N TO NAV :THE REAL IMPROVEMENTS <br /> I <br /> SPECIFIED AND AGREES TO DO ALL WORK IN STRICT-COMPLIANCE WITH ALL >CITY OF <br /> ORCINO 1:iRD INANCES AND STATE OF M I NINESOTA BUILDINO ',REQLJIREMENTS <br /> L <br /> 1( /li ' .a/ // .i i/ <br /> APPLICAN RMITEE SIGNATURE ISSUED BY:SIGNATURE <br />