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' CITY OF ORONO * 2 0 1 5 - 0 1 2 8 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/05/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 185 BROWN RD S <br /> PIN : 03-117-23-21-0021 <br /> LEGAL DESC : KROGS ACRES <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW OR REPLACEMENT(SEPTIC SYSTEM) <br /> ACTNITY : MOUND SYSTEM-SEPTIC <br /> NOTE: MOUND TREATMENT SYSTEM <br /> (1) 1,000 GALLON PLASTIC TANK. <br /> APPLICANT SEPTIC NEW OR REPLACEMENT 400.00 <br /> TOTAL 400.00 <br /> SEWER SERVICES Payment(s) <br /> 25648 200TH STREET CHECK 2331 400.00 <br /> BELLE PLAIN, MN 56011- <br /> (952)823-3292 <br /> OWNER <br /> KROGNESS, CHARLES&JEAN <br /> 185 BROWN RD S <br /> LONG LAKE,MN 55356- <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 gran[perrrtission for additional or related work which requices separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permi[will <br /> expire and become null and void if construc[ion 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> O � . <br /> � /D � � �/-S <br /> Applicant Permitee Signature Date Issued B ignature Date <br /> � <br />