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CITY OF ORONO <br /> 2750 KELLEY PARKWAY * Z PJ 1 30 0 4 5 <br /> DATE ISSUE-D: 06/27/22 013 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS 3340 WATERTOWN RD <br /> PIN 32-118-23-44-0004 <br /> LEGAL DESC UNPLATTED 32 118 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: (3) 1000 GALLON PRECAST CONCRETE TANKS <br /> MOUND TREATMENT SYSTEM-380 SQ FT <br /> **SOILS TO BE VERIFIED AT TIME OF INSTALLATION. <br /> APPLICANT SEPTIC NEW 200.00 <br /> ELMER J.PETERSON COMPANY STATE SURCHARGE SEPTIC 5.00 <br /> 5921 DAGUE AVE SE <br /> DELANO,MN 55328 MISC FEE 0.00 <br /> (763)972-2420 TOTAL 205.00 <br /> Minnesota State License#:219 <br /> OWNER <br /> HUBBELL,VERNE <br /> 3340 WATERTOWN RD <br /> LONG LAKE,MN 55356 <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 /> 91C <br /> t any time for due cause. c t� <br /> 2! ,� /� / <br /> itee Signature Date <br /> Isstfe6my Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />