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CITY OF ORONO PERMIT NO.: 2oiaoiios <br /> 2750 KELLEY PARKWAY <br /> • ' ORONO, MN 55356- DATE ISSUEv: 1 U10/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 465 SPRING HILL RD <br /> PIN : 25-118-23-34-0002 <br /> LEGAL DESC : LJNPLATTED 25 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> ACTIVITY : MOUND SYSTEM-SEPTIC - <br /> NOTE: MOUND SEPTIC CONSTRUCTION <br /> APPLICANT SEPTIC NEW 200.00 <br /> OLSON CONSTRUCTION CO. STATE SURCHARGE SEPTIC 5.00 <br /> 6970 INWOOD ROAD <br /> COLOGNE,MN 55322- TOTAL 205.00 <br /> (952)448-6674 <br /> Minnesota State License#: L1111 <br /> OWNER <br /> ZONA TRUSTEE,RICHARD A <br /> 55 ARBOR CT <br /> TONKA BAY,MN 55331- <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,app(icable 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By S'g ature D <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABOV . <br />