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� • <br /> CITY OF ORONO PERMIT NO.: 2010-00009 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE �ssuEn: OU06/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3105 CASCO PO[NT RD <br /> PIN : 20-117-23-34-0006 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1311 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RES[DENT[AL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: RECLAIM SAC CREDIT-SAC PD <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> DASEN CO. STATE SURCHARGE SEWER& WATER 0.50 <br /> 24245 NATCHEZ <br /> LAKEVILLE, MN 55044- TOTAL 50.50 <br /> (952)461-2100 PAID W[TH CC# 7883 <br /> Minnesota State License#: 1612 <br /> OWNER <br /> R[CHEY, KENT& SUE <br /> 3105 CASCO PT RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> "I�he work for which this permit is issucd shall be performcd according to <br /> thc approvcd plans and specifications,applicablc City approvals,and the <br /> State Building Code. This permit is for only the wark described and does <br /> not grant permission for additional or related��ork which rcquires 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 pennit will <br /> expire and become null and void if construction authorized is not <br /> commenced within I 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 rcquired inspections are <br /> requestcd in conformancc with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signaturc Date Issued By gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />