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. CITY OF ORONO * z 0 1 7 - 0 1 1 8 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/28/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2160 SIXTH AVE N <br /> PIN : 27-118-23-31-0017 <br /> LEGAL DESC : PHILLIPS WOODLAND TERRACE <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SEPTIC(NEW OR REPLACEMENT) <br /> ACTIVITY : SEPTIC(MOUND) <br /> NOTE: (3)PRECAST CONCRETE TANKS <br /> MOUNDS SYSTEM <br /> 1000- 1000- 1000 GALLON TANKS <br /> APPLICANT SEPTIC NEW OR REPLACEMENT 400.00 <br /> PATNODE BROTHERS INC. TOTAL 400.00 <br /> Payment(s) <br /> 2841 LANDER AVE CREDIT CARD 5822 400.00 <br /> ST. MICHEAL,MN 55376- <br /> (612)919-0I 12 <br /> Minnesota State License#: sept-L3843 <br /> OWNER <br /> SCHERER, KEVIN <br /> 2160 SIXTH AVE N <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEME1vT <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 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 afrer work has commenced. <br /> The applicant is responsible for assuring a11 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 /> ?:,�,� � � � l <br /> , ,�-�- �� ,� � � � <br /> Applicant Permitee Signature Date Issued By gnature Date <br />