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CITY of ORONO SEPTIC SYSTEM INSTALLERS <br />LICENSE APPLICATION <br />(612) 473-7357 <br />Post Office Box 66 - ■ <br />Crystal Bay, MN 55323 '^,093 <br />All questions .ust be <br />i"ru«tlcnf trrs^"b?lc\ °to a (10) day approval period. <br />1. <br />2. <br />3. <br />4. <br />Business or trade name Sullivan's <br />Business address 3660 H-w . Wavzata, S53_°l <br />Business phone 473-4300 Residence phone 473- 3062 <br />of applicant or company representative holding M?CA <br />certification Patric.^> S. Sullivan - Donald .Sullivan ------------------- <br />5. Type of certification held:X Installer _X Pumper <br />cS?ifi=atr;xpiration date 72^95 - 12-31^ <br />o • <br />Have you ever held a Septic System Installer license in <br />Orono before? 'fes .Most recent year 1992_ <br />7.Have you ever had a license revoked? <br />Where? <br />NO When?!-^v f'C noniin <br />JL t I U'MUITUr.rrTrr <br />8. <br />9. <br />Do you do Municipal Sewer hook-ups? Yes _J<_ <br />Do you pump out septic tanks? Yes _J< No <br />No <br />-------f ■ nji w • « » •cn * xuim <br />i Ja A vvv' <br />— .•? i rz\j <br />rirrv <br />r.-i .•h'V <br />W* V • VV <br />r,-» ,V» <br />- k/V'.VV <br />ix£iLEIPT-T}^K you4 Jjj:. <br />-i7/?/V'C <br />SUBMITTALS REQUIRED: <br />1. $50.00 License application fee. . ^ orono as - <br />'^3. itJiioolloS^Oof minimiTcer?if!“ of TH?urance. <br />^^4. Copy of current MPCA Certificate. <br />LICENSES WILL NOT BE PROCESSED DNTIL ALL ITEMS ARE SOBMITTED <br />List persons other than aPPliaant who are <br />for permits under your license to suriiva- - - - - - - - - - - - - <br />1 <br />Date <br />The undersigned hereby makes *sept^^^ <br />Minnesota, for a license to ina«li the State of <br />and/or pump out septic tanks, subjecw ^ tn <br />Minnesota and the Ordinances of the CUTf^ of Or ^ <br />r-4J> X ku^■?- 9-93 Applicant's Signature <br />-M- -- - - - - - --- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br />Staff recommendation Approval Denial <br />CITY Reason for denial: <br />USE <br />ONLY <br />City Council Action Date <br />Date license mailed _ __ <br />Approved <br />Date 3-/0'‘fS. <br />Denied