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1 , <br /> • CITY OF ORONO PERMIT NO.: 2010-00875 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/07/2010 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1175 WILLOWBROOK DR <br /> PIN : 26-118-23-41-0004 <br /> LEGAL DESC : WILLOWBROOK <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> ACTIVITY : MOUND SYSTEM-SEPTIC <br /> NOTE: (3)PLASTIC NORWECO BRUISER TANKS- 1,000 GALLON EACH <br /> MOUND TREATMENT SYSTEM-550 S.F. <br /> APPLICANT SEPTIC NEW 200.00 <br /> HAYES&SONS EXC. INC. STATE SURCHARGE SEPTIC 5.00 <br /> 263 82ND STREET S.E. TOTAL 205.00 <br /> MONTROSE, MN 55303- <br /> (763)479-1762 <br /> Minnesota State License#: 640 <br /> OWNER <br /> KRUEGER,RICHARD& SUSAN <br /> 1175 WILLOWBROOK DR <br /> WAYZATA,MN 55391 <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 /> re. - ted in conforma e wit the State Building Code.This permit may be <br /> teed al time f due e. <br /> •pphcant Pe mi Si ure Date Issued By Sig tare D <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER TH Signe <br /> DESCRIBED AB <br />