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` � CITY OF ORONO * 2 0 1 7 - 0 0 9 7 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/16/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 530 SANDHILL DR <br /> PIN : 33-118-23-24-0020 <br /> LEGAL DESC : ORONO PRESERVE <br /> : LOT 1 BLOCK 2 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: NEW WATER AND SEWER CONNECTION <br /> � <br /> 1 <br /> � <br /> � <br /> APPLICANT SEWERCONNECT/DISCONNECT/REPAIR 50.00 <br /> D.S.M. EXCAVATING WATERCONNECT/DISCONNECT/REPAIR 50.00 <br /> 2916 ENTERPRISE AVE STATE SURCHARGE SEWER&WATER 1.00 <br /> HASTINGS,MN 55033- TOTAL 101.00 <br /> (651)480-1355 Payment(s) <br /> CREDIT CARD 5166 101.00 <br /> OWNER <br /> OPS Orono LLC <br /> 15250 WAYZATA BLVD#101 <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> — ' // <br /> ��� � � �� � � �� � l h � l 7 <br /> Applicant Permitee Signature Date Issued y Signature Date <br />