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„ CITY OF ORONO � 1 3 - 0 0 z� <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/20/2013 <br /> ' ORONO, MN 55356- <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1510 NORTH ARM DR <br /> P1N : 08-117-23-33-0078 <br /> LEGAL DESC : HICKORY HILL <br /> : LOT 020 BLOCK 000 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DISCONNECTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> ATLAS HOMES INC STATE SURCHARGE SEWER&WATER 5.00 <br /> 14450 117TH AVE N TOTAL 55.00 <br /> DAYTON, MN 55369- <br /> (763)691-9044 <br /> Minnesota State License#: BC20269686 <br /> OWNER <br /> Real Assets LLC <br /> 550 25TH AVENUE N <br /> ST CLOUD, MN 56303- <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 describcd and does <br /> not grant permission for addi[ional or related work which requires separate <br /> permits. All provisions oY laws and ordinances governing this type of work <br /> shall be compied with whether or not specitied 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 inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � <br /> ���--�-�� � �s— � /"z� / �c��.Z� / / <br /> Applicant Permitee Signature Date Issued By Si ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED B VE. <br />