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__ CITY OF ORONO * z 0 1 5 - 0 0 8 0 3 * <br /> • '� 2750 KELLEY PARKWAY DATE ISSUED: 07/07/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 50 CRISTOFORI C[R <br /> PIN : 31-118-23-44-0004 <br /> LEGAL DESC : UNPLATTED 31 1 18 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW OR REPLACEMENT(SEPTIC SYSTEM) <br /> ACTIVITY : MOUND SYSTEM-SEPTIC <br /> NOTE: NEW MOUND SYSTESM <br /> (3)PRECAST CONCRETE TANKS EACH 1250 GALLONS <br /> APPLICANT SEPT[C NEW OR REPLACEMENT 400.00 <br /> TOTAL 400.00 <br /> r'.RTHUR L JORDAN Payment(s) <br /> P O BOX 1020 CHECK 4714 400.00 <br /> HOWARD LAKE, MN 55347- <br /> (320)543-1120 <br /> Minnesota State License#: sept-399 <br /> OWNER <br /> HANSEN,ANDREW&ALEX <br /> 50 CRISTOFORI CIRCLE <br /> WAYZATA, MN 55359- <br /> AGREEMENT AND SWORN STATEMENT <br /> T'hc 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 /> no[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 no[ <br /> commenced within l80 days of the date of issuance,or if construction is <br /> suspended for a period of l80 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�ny[ime for due cause. <br /> ,�. I ,) � • k � � <br /> ����� � � '�S �-C"����� � � `����.�_�� -7 i �-? i � `-� <br /> � - <br /> pplicant Permitee S' ature Date Issued By Signature Date <br />