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3904 Sibley Memorial Hwy �lt�ap WATER SERVICE PERMIT Road PERMIT £1 475122 DA TE: "0 F No. of Units: 1 Si m ° ":,s4 Sibley :'iei*or:,..af1 _ s" Meter No.: — Connection Charge: .fie; Account Deposit: leader o,. Permit Fee: 10 1 04Aree to-cioaply with the Village of Eagan Surcharge: 5 ' 3 ' © Misc. Charges: Total: By / Date Paid: - ate insp. ! e Insp. n E OF EAGAN SEWER SERVICE PERMIT 4795 Pilot Knob Rood PERMIT NO.: Eagan, MN 55122 DATE: Zoning: I'-a. No, of Units: Owner: = " : _ ,, a Pr-A. ° x C k t ;. Address: Site Address: f Sibley Memorial Highw y Plumber: _ ?- In F:- agree to comply with the Village of Eagan Connection Charge: i Ordinances. Account Deposit: Permit Fee: Surcharge: By: Misc. Charges: Date of Insp : r � 1 Total: Insp.: �iiii t Date Paid: