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� _ �. <br /> � �� _ ;�* 4 ��, � , `� ` <br /> F � : ' <br /> � � � � <br /> ,. � r. '.�� .��,b; �Z .p`,a'.v-.��r.,: i ����� x <br /> ; " � ' „ ' . .,. .� ..:z`� <br /> � .,.�. <br /> ,:; ,� , � . ; a ,. . ., .^ <br /> ��'<��.. , � ' �s <br /> :�, , . � � y �...a . ,�i. <br /> I will be installing the following: <br /> Ta ks <br /> Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other <br /> (list manufadurer) <br /> Number of Tanks: � <br /> Size of Tanks: �CrU O U �'U <br /> Treatment System <br /> Trenches s.f. <br /> � Mound s.f. <br /> Gravel less s.f. <br /> Chamber s.f. <br /> NOTE: The contractor is required to provide an As-Built of the system before the <br /> final inspection. <br /> The undersigned hereby applies to the City of Orono for issuance of a septic system <br /> installation permit, agrees to do all the work in strict accordance with ordinances of the City <br /> and regulations of the State of Minnesota and certifies that all statements made on this <br /> application are complete, true and correct. <br /> Signature of Applicant Date: �����( � <br /> MPCA License No.: �- � ��:,_./ <br /> Staff Review: L�Accept Denied <br /> Reviewer: � Date: <br /> Reason for Denial: <br /> Comments (to be printed on inspection card): <br /> 2 / 2 <br />