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CITY OF ORONO PERMIT NO.: 2010-00501 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssUED: 06/21/2010952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 1150 WYNDMERE RD <br /> PIN 26-118-23-41-0007 <br /> LEGAL DESC WYNDMERE <br /> LOT 001 BLOCK 001 <br /> PERMIT TYPE SEPTIC <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> ACTIVITY : MOUND SYSTEM-SEPTIC <br /> APPLICANT SEPTIC NEW 200.00 <br /> ADVANCED EXCAVATING STATE SURCHARGE SEPTIC 0.50 <br /> 7650 COUNTY RD 32 TOTAL 200.50 <br /> NEW GERMANY,MN 55367- <br /> 0 <br /> Minnesota State License#:2859 <br /> OWNER <br /> KRUESSEL,JEFF <br /> 1150 WYNDMERE RD <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 /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> Applica ermitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />