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I _ � <br /> CITY OF ORONO * 2 0 1 8 — 0 0 3 4 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/26/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3257 SHADYWOOD CIR <br /> PIN : 20-117-23-11-0047 <br /> LEGAL DESC : SHADYWOOD VILLAS <br /> : LOT 6 BLOCK 1 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: WATER AND SEWER CONNECTION <br /> APPLICANT SEWERCONNECT/DISCONNECT/REPAIR 50.00 <br /> TMS COMPANIES WATERCONNECT/DISCONNECT/REPAIR 50.00 <br /> 5990 MEADOWLARK LN STATE SURCHARGE SEWER&WATER 1.00 <br /> PRIOR LAKE,MN 55372- TOTAL 101.00 <br /> (612)414-5700 Payment(s) <br /> CREDIT CARD 6083 101.00 <br /> OWNER <br /> Casco Ventures LLC <br /> 16192 STATE HWY NO 7 <br /> MINNETONKA,MN 55345- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed acwrding to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. 1'his 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 1 SO 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 Buildin de.This permit may be <br /> revoked at any time f r due cause. <br /> � �'� D e� � 3 �a��� � <br /> Ap ' ant Permitee Signature D te Issued B ignature Date <br />