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CITY of ORONO <br />SEPTIC SYSTEM INSTALLER- <br />,,, LICKISI APPLICATION(612) 473-7357 <br />Post Office Box 66 <br />Crystal Bay» MN 55323 <br />All questions must be Vtt«hil.β€œ'All <br />t^|riraricnrlrrs'4%%%°to”/«n"(JS) day approval period. <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />Volkenant IncBusiness or trade name _ <br />1030 Co Rd 83 Maple Plain Mn 55359 Business address * - - --- - - -- - - - - - --- - - - - - - <br />Business phone _ _ _ Residence phone - - - - - - - - - - <br />sane of applicant or company representative holding MPCA <br />X Installer X Pumper <br />12-31-95Type of certification held: _ <br />Certificate expiration date _ <br />Have you ever held a Septic System Installer license in <br />Orono before? YilS Most recent year -----2i- <br />Have you ever had a license revoked? <br />Where? - - - - - - - - ----- - - - - --- - - - <br />No When? <br />8. Do you do Municipal Sewer hook-ups? Yes <br />9. Do you pump out septic tanks? Yes β€”Xβ€” <br />CI7T OF DRC^Q <br />SUBMITTALS REQUIRED: <br />V/^1. $50.00 License application fee. t <br />S2000 00 license and permit bond naming City wi. <br />Lligee. The State Plumbers Bond will <br />V $50-100-300,000 minimum Certificate of ^sur^^e.^^^^n;'- <br />77^ 4. Copy of current MPCA Certificate. <br />bf Orona^..id ^ <br />LICENSES HILL NOT BE PROCESSED UNTIL ALL ITQtS ARE SUBMITTED <br />List persons other than applicant who are authorized by you to apply <br />for permits under your license <br />The undersigned hereby makes application ^^^^c^fystems, <br />Minnesota, for a license to install of <br />and/or pump out septic tanks, subject to the laws or y <br />Minnesota and the Ordinances of the Cit <br />Date 3-6-94 Applicant's Signature <br />to the laws of the sta <br />ty^f yOrono. /hUr <br />CITY <br />USE <br />ONLY <br />Staff recommendation Approval^ <br />Reason for denial: _ _ _ _ _ _ __ <br />City Council Action Date ______ <br />Date license mailed _ <br />Denial Date <br />Approved