City of Maple Grove

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Application Information

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Applicant

App. Type	Utility Installation
Permit No.	2017-245
UID #	1374
App. Status	Approved
Work Start	10/19/2017
Work End	04/18/2018

First Name:	Middle Name:	Last Name:
Loranne	D	Shambach

Company:

CenturyLink

Company Phone:

Local Phone:

(612

) 798

- 2400

(612

) 798

- 2400

Email Address:

loranne.shambach@centurylink.com

Mailing Address:

301 W 65th Street

Richfield	MN	55423

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

Application Information

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