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ITY F � PERMIT <br /> C O ORO O <br /> 27FA K�Ifey Parkway- PO Box 66 Permit Number: Po6ois <br /> Crystal Bay, Minnesota 55323 Pet-mit Type: Sewer and water Pernut <br /> (952) 249-4600 Date Issued: 2i6�2oo3 <br /> SITE ADDRESS: 2800 Pheasant Rd <br /> Excelsior,MN55331 <br /> P I D: 21-117-23-32-0004 <br /> DESCRI PTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: Sewer and Water Pernut Permit Sub-type(s): Sewer Disconnect <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Pernut Fee: $ 35.00 <br /> Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL F'EE: $ 35.50 <br /> APPLICANT' RC Grading&Excavating,Inc. QWNER: James&James Echtenkamp <br /> � P.O.Box 24 120 Birch Bluff Rd <br /> Albertville,MN 55301 Tonka Bay,MN 55331 <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 /> . -'` <br /> D Gc, �� / �� . <br /> APPLIC T PERMITEE SIGNATURE I SUED BY SIGNATURE � � <br /> Conies: 1-File(SiQnitures Required), 1-Avnlicant, 1-Monthlv Renorts, 1-AssessinQ, 1-Finance Page 1 <br />