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� CITY OF ORONO PERMIT NO.: 2008-00111 <br /> . 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 08/06/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 730 BIG ISLAND <br /> PIN : 22-117-23-13-0002 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1092 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> NOTE: TANKS ONLY <br /> APPLICANT SEPTIC NEW 100.00 <br /> ABLE EXCAVATING STATE SURCHARGE SEPTIC 0.50 <br /> 15630 OLD BRICK YARD RD. TOTAL 100.50 <br /> SHAKOPEE,MN 55379 <br /> (952)445-7432 <br /> Minnesota State License#: 994 <br /> OWNER <br /> MELIN,JEFFREY <br /> 2315 LAFAYETTE RD <br /> WAYZATA, MN 55391 <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 described and does <br /> not grant permission for additionai 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 tequired inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due,cause. <br /> '�C L� l l ��iY�CKi!� U l (� / �0 <br /> Applicant Permitee Signature Date <br /> Issue By gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE ABOVE. <br />