City of Maple Grove

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Applicant

App. Type	Utility Installation
Permit No.	2017-113
UID #	1068
App. Status	Approved
Work Start	05/23/2017
Work End	06/02/2017

First Name:	Middle Name:	Last Name:
Douglas	E	Gawtry

Company:

City of Maple Grove

Company Phone:

Local Phone:

(763

) 494

- 6282

(763

) 221

- 4866

Email Address:

dgawtry@maplegrovemn.gov

Mailing Address:

12800 Arbor Lakes Parkway N
PO Box 1180
Maple Grove	MN	55311

* I am requesting a permit extension.:
* Please extend permit to:

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