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, • • <br />^ •CITY of ORONO <br />i <br />(612) 473-7357 <br />Pos-t Office Box 66 <br />Crystal Bay, MN 55323 <br />SEPTIC ^STEM INSTAIILERS <br />LICENSE APPLICATION <br />it <br />K <br />J »* <br />rf <br />¥ <br />ti <br />•» <br />All questions must be answered. License fSS^ <br />- ------ - • iofiESiu^%e»-a‘ttached. All <br />i <br />insurance, and evidence of MPCA Certificat <br />applications are subject to a ten (10) day approval period. <br />7T? ^ <br />i-:" <br />1. <br />2. <br />3. <br />4. <br />Volkenant IncBusiness or trade name <br />Business address 1030 Co Rd 83 Maple Plain Mn 55359 <br />Business phone 479~1547 Residence phone _ _ _ _ _ _ _ __ <br />Name of applicant or company representative holding MPCA <br />certification Bob Vo^lkenant_ _ _ _ _ _ _ _ _ _ __ __ _ _ _ _ _ <br />1 . <br />Type of certification held: <br />Certificate expiration date <br />X Installer <br />571 <br />X__ Pumper <br />r-6.Have you ever held a Septic System Installer license in <br />Orono before? yes Most recent year 1991 <br />W 7.Have you ever had a license revoked? <br />Where? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br />When? <br />U 8, <br />9. <br />Do you do Municipal Sewer hcok-ups? Yes <br />Do you pump out septic tanks? Yes ^ <br />X Nc <br />r “ rv nc WpVOW.. I I <br />No “ 1 khskirL nccTPC <br />f T? f^ X wfV'VV'V^V/ <br />SUBMITTALS REQUIRED <br />Uj. i-'iitrucrv Ti <br />U*l I i» <br />' a VV 4 <br />^w*a W <br />/ 1. $50.00 License application fee <br />RECEIPT-fHAHK YOiJ <br />^235i^90 cool POi <br />>L 2. $2000.00 license and permit bond naming City of Orono as , i_Q3 <br />obligee. The State Plumbers Bond will not be accented.'' <br />3. $50-100-300,000 minimum Certificate of Insurance. fxp. <br />X 4. Copy of current MPCA Certificate. <br />n ' /■•?,< /0-"lt.t/ / - <br />if.';- <br />‘ - ?■■■ <br />LICENSES WILL NOT BE PROCESSED UNTIL ALL ITEMS ARE SUBMITTED <br />List persons other than applicant who are authorized by you to apply <br />I for permits under your license __ _ _ _ _ _ _ _r^k - --- - - - - - --- <br />i <br />Date <br />The undersigned hereby makes application to the City of Orono, <br />Minnesota, for a license to install and repair septic systems, <br />and/or pump out septic tanks, subject to the laws of the State of <br />Minnesota and the Ordinances of the Cit^^of Orono. <br />2-17-92 Applicant's Signature <br />XX <br />CITY <br />BSE <br />"^NLY <br />Staff recommendation Approval <br />Reason for denial: _ _ _ _ _ _ _ _ <br />Denial Date <br />City Council Action Date <br />Date license mailed ______ <br />Approved Denied