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, - . CITY OF ORONO PERMIT NO.: 2010-01069 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN SS356- DATE ISSUED: 1U08/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2720 FOX ST <br /> PIIY : 04-117-23-42-0004 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 229 <br /> : LOT 022 BLOCK 000 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : NEW <br /> ��1�-�� <br /> NO"1'E: NRECAS"I'CONCRE"I�E TANKS <br /> (2)- 1000 SEPTIC AND(1) 1000 PUMP <br /> BLD TRI:ATMGNT SYST�M-7�2 S.P. <br /> ANPLICANT SEPTIC NEW 200.00 <br /> VOLKENANT INC. STATE SURCHARGE SEPTIC 5.00 <br /> 1030 CO RD 83 <br /> MAPLE PLAIN, MN 55359 TOTAL 205.00 <br /> (763)479-1547 <br /> Minnesota State License#: 1709 <br /> OWNER <br /> STUBBS, L&D <br /> 2720 FOX ST <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work tbr�ehich this permit is issucd shall be performed according to <br /> the approved plans and specitications.applicable City approvals,and die <br /> State Building Code. This permit is for only the work describcd and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances bovernine this type ofwork <br /> shall be compied with whether or not specitied herein.This permit will <br /> expire and becomc null and void if construction aulhorized is not <br /> commcnced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after���ork I�as commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> req sted in conformance with the State Building Code.This permit may be <br /> revok d at a��y tinte f due ause. <br /> .� /� �•i` � c� J��j <br /> y�`��� L�� � �� ... - � � � � ��� V � �V <br /> Applicant Permite�Signature Date <br /> Iss d 13y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />