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�. CITY OF ORONO * 2 0 1 5 - 0 0 3 8 6 * <br /> r 2750 KELLEY PARKWAY DATE ISSUED: 04/06/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4174 HIGHWOOD RD <br /> pIN : 07-117-23-44-0026 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 032 BLOCK 000 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: SAC GRANDFATHERED IN#2346 11-17-69 <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> STATE SURCHARGE SEWER&WATER 5.00 <br /> SPECTACULAR COMPANIES TOTAL 55.00 <br /> 5595 270TH STREET E Payment(s) <br /> ELKO, MN 55020 CREDIT CARD 3557 55.00 <br /> �) <br /> OWNER <br /> LUNDE, DAVE <br /> P O BOX 4551 <br /> ST PAUL,MN 55104- <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 Buiiding Code. This permit is for onty 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 no[ <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 me for due cause. <br /> ��-ri-�� �'� <br /> L:� ?` i �- i �_ <br /> 'gnature e Issued By Signa re Date <br />