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CITY OF ORONO <br /> � � � 2750 KELLEY PARKWAY * A�TE ISSUED: lU 3/0 5 * <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 2735 DEER RUN TR E <br /> PIN : 04-117-23-13-0013 <br /> LEGAL DESC : N/A <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW OK REPLACEMENT(SEPTIC SYSTEM) <br /> ACTIVITY : MOUND SYSTEM-SEPTIC <br /> NOTE: (3)PRECAST CONCRETE TANKS <br /> 1200, 1000, 1250(LIFT) <br /> 8T X 41'MOUND <br /> 630 ROCKBED <br /> APPLICANT SEPTIC NEW OR REPLACEMENT 400.00 <br /> TOTAL 400.00 <br /> SMITH'S SEPTIC&EXCAVATING Payment(s) <br /> 275 VIKING BLVD NW CHECK 5159 400.00 <br /> CEDAR, MN 55011- <br /> (612)819-9018 <br /> OWNER <br /> NIH Homes LLC <br /> 6840 213TH AVE <br /> ELK RIVER, MN 55330- <br /> AGREEMENT AND SWORIY 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 grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction 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 inspec[ions are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. n r,� <br /> � '� ,�_X� <br /> C�, __ -� �>�:� � �}5�, i r ,� , � s <br /> Applicant Permitee Si � Date Issued By Signature Date <br />