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September 2012 <br />PERMIT NO. <br />CITY OF LAKE ELMO <br />3880 Laverne Avenue North <br />Lake Elmo, Minnesota 55042 <br />Phone: 651.747.3900 <br /> <br />NOTIFICATION OF COMPLETION OF PERMIT <br />To avoid the assessment of delay penalties, please check applicable boxes, sign and return to the City of Lake <br />Elmo within 48 hours of completing the permit installation. No permit is considered complete until the City has <br />received such notification. <br />All work authorized under this permit has been completed and all disturbed areas have been restored to <br />original or better condition. There were no significant changes to the scope of the permit. <br />All work authorized under this permit has been completed and all disturbed areas have been restored to <br />original or better condition. There were changes to the installation as approved, signed as-built drawings <br />are enclosed that details the installation as made. <br /> Additional Comments: <br />Approved By: Title: <br />Company: Date: <br />Phone: