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` '• • CITY OF ORONO * z 0 1 3 - P1 0 7 5 B * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/13/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2080 SHORELINE DR <br /> PIN : 15-117-23-21-0006 <br /> LEGAL DESC : HARTWOOD <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> ACTIVITY : MOUND SYSTEM-SEPTIC <br /> NOTE: (3)PRECAST CONCRETE TANKS-EACH 1,000 GALLONS <br /> MOUND TREATMENT SYSTEM-500 S.F. <br /> APPLICANT SEPTIC NEW 200.00 <br /> HAYES& SONS EXC.INC. STATE SURCHARGE SEPTIC 5.00 <br /> 263 82ND STREET S.E. TOTAL 205.00 <br /> MONTROSE,MN 55303- <br /> (763)479-1762 PAID WITH CC# 5293 <br /> Minnesota State License#:L640 <br /> OWNER <br /> STALOCH&MICHAEL STEWART,ROBIN <br /> 2080 SHORELINE DR <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 sepazate <br /> permits. All provisions of laws and ordinances goveming 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 /> y im f due cause. <br /> � / /� /� / <br /> Ap icant Pe 'te Signature Date Issued By Si ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED A <br />