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� i <br /> CITY OF ORO O * 2 0 1 4 - 0 P1 8 2 7 * <br /> 2750 KELLEY PAR WAY DATE ISSUED: 08/06/2014 <br /> ORONO, MN 55 56- <br /> (952) 249-4600 FAX: (95 ) 249-4616 <br /> AUURESS : 75 E3AYSIDE TR <br /> PIN : 06-117-23-22-0030 <br /> LEGAL DF.SC : BAYSIDE MEADOWS <br /> : LOT 5 BLOCK 1 <br /> YF.RMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> ACTIV[TY : MOUND SYSTEM -SEPTIC <br /> NOTE: NF,W MOUND SYSTE;VI <br /> 3 -CONCRETE TANKS <br /> 2- 1300 GALLON AND 1 -GALLON LLIFT STAT[ON <br /> ROCK BED- 10 X 63 FEET <br /> APPLICANT SE.PTIC N W 200.00 <br /> S"i'ATE S RCHARGE SEPTIC 5.00 <br /> HAYES& SONS EXC. ING TOTAL 205.00 <br /> 263 82ND STREET S.E. Payment(s <br /> MONTROSE, MN 55303- CREDIT C RD 5293 205.00 <br /> (763)479-1762 <br /> Minnesota State License#: sept-L640 <br /> OWNER <br /> WACHMAN JR., ERVIN <br /> 2135 SALEM CT <br /> LONG LAKE, MN 55356- <br /> AGRF.EMENT AND SWORN STATEMEIYT <br /> I�he work for which this permit is issucd shall be performcd according lo <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This pern�it is for onl��thc work describcd and docs <br /> not grant permission for additional or related work which requires separate <br /> permits. nll provisions of laws and ordinances governing this type ol�work <br /> shall be compied with whether or not spcciticd hcrcin.'fhis permil will <br /> expire and become null and void if construction authorized is not <br /> commenced within ]80 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 l3uilding Code.This permit may be <br /> revoked� e fon�due cause. <br /> -,'n. <br /> �� �r __. 1�.� .. `� �� �' .n � <br /> i �' i�y <br /> Appl� antPermit �g� ture Date IssuedB '"ignature Date <br />