City of Maple Grove

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Application Information

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Applicant

App. Type	Utility Installation
Permit No.	2016-254
UID #	436
App. Status	Approved
Work Start	12/01/2016
Work End	05/30/2017

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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