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_ <br /> _. ' CITY OF ORONO P�RM1T No.: 2oli-oo363 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: OS/18/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> REPRINTGD ON 5/18/2011 <br /> ADDRESS : 1155 HERITAGE LA <br /> PIN : 10-117-23-13-0022 <br /> LEGAL DESC : FOXHILL <br /> : LOT 002 BLOCK 003 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE . NEW �chY��'�(�� <br /> NOTE: SEWER CONNECTION PERMIT <br /> HOMEOWNER PAID SAC CHARGES OF$2230.00 AND CONNECTION TO LEVY$22,440.00 <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> GROTH SEWER& WATER STATE SURCHARGE SEWER& WATER 5.00 <br /> �' 775 TOWER DRNE <br /> � HAMEL, MN 55340- TOTAL 55.00 <br /> � (763)478-6712 <br /> Minnesota State License#: 058606-PM <br /> OWNER <br /> VILTOFT,JORGEN &LUCILLE <br /> 115� HERITAGE LA <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for��hich 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 tor additional or related work which requires scparate <br /> pennits. 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 eriod of 180 days at any limc after work has commenced. <br /> '; The applicant is r sponsib � assurin�all required inspections are <br /> requested in n ce w the dui ing Code.This permit may be <br /> �� revoked at a y � e fo e c� " <br /> � � ��/�i //� �5� l�' l <br /> Applicant Permit e Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />