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CITY OF ORONO * Z p� 1 5 - 0 1 5 3 3 * <br /> - 2750 KELLEY PARKWAY DATE ISSUED: 12/07/2015 <br /> ORONO, MN 55356- <br /> 952) 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 3287 CASCO CIR <br /> PIIY : 20-117-23-43-0044 <br /> LEGAL DESC : WINSHIPS SUBD SPRING PARK <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: SAC GRANDFATHERED[N#1711 11-03-67 AND HOME PRIOR. <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> POPPITZ CONSTRUCTION STATE SURCHARGE SEWER&WATER 1.00 <br /> 3640 EDGEHILL ROAD <br /> CHASKA,MN 55318- TOTAL 101.00 <br /> (612)369-1110 Payment(s) <br /> CHECK 28264 101.00 <br /> OWNER <br /> STRUCK,JAN&SARAH <br /> 3862 NORTHERN AVE <br /> SPRING PARK, MN 55384- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit 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 cesponsible 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 /> � ,._ <br /> � � ; <br /> �, /�2 - �--�� �1 �'`-�,-.�`."�`S� � � / -7 / � � <br /> A p cant ermitee Signatu e Date Issued By Sign ure Date <br />