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�� ""�� � CITY Or ORONO <br /> 2750 KELLEY PARKWAY * Z 0 1 6 — 0 fd 7 2 PJ * <br /> DATE ISSUED: 07/07/2016 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDkESS : 2235 FRENCH CREEK C[R <br /> PIN : 10-117-23-32-0005 <br /> LEGAL DESC : FRENCH CREEK <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SEPTIC(NEW OR REPLACEMENT) <br /> ACT[VITY : SEPTIC(MOUND) <br /> NOTE: (3)PRECAST CONCRETE TANKS <br /> (2) 1,000 GALLON <br /> (1) 1,300 GALLON <br /> MOUND SYSTEM <br /> APPLICANT SEPTIC NEW OR REPLACEMENT 400.00 <br /> KOTHRADE SEWER&WATER TOTAL 400.00 <br /> Payment(s) <br /> 12059 WHITETAIL AVENUE CREDIT CARD 4122 400.00 <br /> HANOVER,MN 55341 <br /> �) <br /> Minnesota State License#: plbg-RP645681 <br /> OWNER <br /> PATTERSON,ANTHONY <br /> 2235 FRENCH CREEK CIR <br /> , MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfomled 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 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 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 /> revoked at any time for due cause. <br /> . <br /> � � �P � ��e.���, 7� 7 � l.6 <br /> Applicant Permitee Signature Date Issued By gnature Date <br />