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CITY OF ORONO * 2012 - 00837 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/05/2012 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 125 TURNHAM RD <br /> PIN 31-118-23-43-0018 <br /> LEGAL DESC UNPLATTED 31 118 23 <br /> LOT MB BLOCK MB <br /> PERMIT TYPE SEPTIC <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE NEW <br /> ACTIVITY MOUND SYSTEM-SEPTIC <br /> NOTE: (3)PRECAST CONCRETE TANKS-EACH TANK 1250 GALLONS <br /> MOUND-630 SQUARE FEET <br /> APPLICANT SEPTIC NEW 200.00 <br /> LEROUX EXCAVATING INC. STATE SURCHARGE SEPTIC 5.00 <br /> 2104 64TH STREET TOTAL 205.00 <br /> WHITE BEAR LAKE,MN 55110- <br /> Minnesota State License#:L-778 <br /> OWNER <br /> ROCHEL,ANTHONY&SURYA <br /> 125 TURNHAM RD <br /> MAPLE PLAIN,MN 55359- <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 separate <br /> permits. All provisions of laws and ordinances governing 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 /> revoked at any time for due cause. <br /> Applicant Perm i ee Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />