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CITY OF ORONO * 2 0 1 3 - PJ PJ 1 3 2 * <br /> � ° 2750 KELLEY PARKWAY DATE ISSUED: 02/27/2013 <br /> - ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4156 HIGHWOOD RD <br /> PIN : 07-117-23-44-0019 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 023 BLOCK 000 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: SAC GRANDFATHERED IN <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> XPAND, INC. STATE SURCHARGE SEWER&WATER 5.00 <br /> 13727 JOHNSON MEMORIAL DR <br /> SHAKOPEE,MN 55379- TOTAL 55.00 <br /> (952)292-6107 PAID WITH CC# 4307 <br /> Minnesota State License#: BC457158 <br /> OWNER <br /> MUSGJERD, SCOTT&MELISSA <br /> 4156 HIGHWOOD RD <br /> MOLJND,MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The 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 /> not grant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances goveming 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 1 SO days at any time after work has commenced. <br /> The applicant is responsible for assurin all required inspections are <br /> requested in conformance w� e State ilding Code.This permit may be <br /> revoked at any time e cause. <br /> /� i i i i <br /> Ap lic t e t i atu Date Issued By nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />