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MmUffliflum <br /> CITY OF ORONO * 2 0 1 3 - 0 0 8 4 7 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/23/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS 2687 WAYZATA BLVD W <br /> PIN 33-118-23-13-0002 <br /> LEGAL DESC UNPLATTED 33 118 23 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE WATER <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE REPAIR <br /> NOTE: REPAIR WATER LINE <br /> APPLICANT WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> VALLEY RICH CO. TOTAL 50.00 <br /> 147 N.JONATHAN BLVD-SUITE <br /> CHASKA,MN 55318 PAID WITH CC# 5909 <br /> (952)448-3002 <br /> OWNER <br /> Long Lake Properties LLC <br /> 601 CARLSON PKWY#350 <br /> MINNETONKA, MN 55305- <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 9nytime ford u <br /> A K' ' <br /> p cant Permitee Sign Date Issued By ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />