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4 <br /> CITY OF ORONO PERMIT NO.: 2009-0003� <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssUEn: OU30/2009 <br /> �� (952) 249-4600 FAX: (952) 249-4616 <br /> �►DDRESS : 350 BIG ISLAND <br /> PIN : 23-117-23-32-0039 <br /> LEGAL DESC : MORSE ISLAND PARK 2ND ADDN <br /> : LOT 003 BLOCK 000 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> ACTTVITY : MOUND SYSTEM-SEPTIC <br /> NOTE: FOR SEASONAL USE ONLY �� �� � <br /> ��� <br /> � r� � <br /> �� <br /> ..� <br /> APPLICANT <br /> SEPTIC NEW 100.00 <br /> SONS EXCAVATING& SEPTIC STATE SURCHARGE SEPTIC 0.50 <br /> 30423 STATE HIGHWAY 25 <br /> (952)873-4647 TOTAL 100.50 <br /> Minnesota State License#: L2606 <br /> OWNER <br /> MCCLELLAN, VINCENT <br /> 350 BIG ISLAND <br /> EXCELSIOR, MN 55331 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall bc perfonncd accordinb to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only thc 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 speciticd 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 I 80 days at any time after work has commeneed. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State E3uilding Code.7'his permit may be <br /> revok d at any time for due cause. � — ��1 — <br /> � � � d �" �� � ��`� / / <br /> Applicant Perm ee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />