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�! � <br /> , - � <br /> � CITY OF ORONO PERMIT NO.: 2010-00542 <br /> � � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/30/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 515 FERNDALE RD N <br /> PIN : 36-118-23-14-0006 <br /> LEGAL DESC : UNPLATTED 36 1 18 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEPTIC <br /> PROPF,RTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> ACTIVITY : MOUND SYSTEM- SEPTIC <br /> NOTE: <br /> (3)PRECAST CONCRETE 1,500 GALLON TANKS <br /> MOUND SYSTEM -630 S.F. <br /> APPLICANT SEPTIC NEW 200.00 <br /> KLINGBERG EXCAVATING STATE SURCHARGE SEPTIC 0.50 <br /> P O BOX 6 TOTAL 200.50 <br /> PRIOR LAKE, MN 55372- <br /> (952)447-2557 <br /> Minnesota State License#: L49 <br /> OWNER <br /> GRIFFIN, ROBERT <br /> 125 CHEVY CHASE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work tor which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only the 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 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 /> revoke��t any tim or caus <br /> ,.� � � C / " � / ; ���� �� <br /> `Applicant ermitee Signature Date Is ed By Signature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. <br />