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, s, , CITY OF ORONO * Z p� � 5 — 0 1 4 6 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUEn: 12/OU2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 725 SIXTH AVE N <br /> PIN : 26-118-23-44-0006 <br /> LEGAL DESC : UNPLATTED 25 118 23 <br /> : LOT 1 BLOCK 2 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : NEW OR REPLACEMENT(SEPTIC SYSTEM) <br /> ACTIVITY : MOLJND SYSTEM-SEPTIC <br /> NOTE: (2)PRECAST CONCRETE 1500 GALLON TANKS <br /> APPLICANT SEPTIC NEW OR REPLACEMENT 400.00 <br /> KOTHRADE SEWER&WATER TOTAL 400.00 <br /> Payment(s) <br /> 12059 WHITETAIL AVENUE CREDIT CARD 4122 400.00 <br /> HANOVER,MN 55341 <br /> �) <br /> Minnesota State License#: SW-192 MPCA <br /> OWNER <br /> Spring Hill Golf Club <br /> 725 SIXTH AVE N <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMEIYT <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 Bui(ding Code. This permit is for only the work described and dces <br /> not grant permission for additional or related work which requires separate <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 au[horized 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ��� c���`��N�' �2-/ � �/ � <br /> Applicant Permitee Signature Date Issued B gnature Date <br />