City of Maple Grove

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Application Information

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Applicant

App. Type	Utility Installation
Permit No.	2017-085
UID #	825
App. Status	Approved
Work Start	04/01/2017
Work End	12/31/2017

First Name:		Last Name:
Ron		Bozich

Company:

CenturyLink

Company Phone:

Local Phone:

(612

) 861

- 8162

(612

) 834

- 7645

Email Address:

ronald.bozich1@centurylink.com

Mailing Address:

301 W 65th St

Richfield	MN	55423

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

Application Information

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