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"�a� � �.a �h '��.������: t�i��m�'��,yc'�rR�r�,;�,+�„+ 5�' ,��r� .�. �. �' {�,w. - f `'���a� �k».�,,. <br /> ',�� a t �'� �'"� ,���:�✓Ym�3�- :c�'f �»1��j+favµ.�* fiy � '� �� r {�0� <br /> K�',rK�t ti��r` �'s xi.�t v :`. sp�r t� ���r�„3'����Sa''' 4 a -, .`�8.y�� � � ^� a rs t �'� �+ b` � � �, <br /> d*'"� `� �"�" ' �'� `�`��%;rs � �%�h':, �,���n,s�� � �,:s;� !�,i��"i�*`,a�.. � e'�":� ,�: 'e�", a�� � °�',. <br /> � � <br /> �� t���'a���-`���^ " , , <br /> �. r _ ^� ;. ,. s. '� .. <br /> ,,�y +� {� • <br /> >� . . . �., v�%�#t. : <br /> I will be installing the following: <br /> Tanks <br /> [,� Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other <br /> pist manufacturer) <br /> Number of Tanks: 3 <br /> Size of Tanks: j a So 1 aS v /�o 0 <br /> Treatment System <br /> Trenches s.f. <br /> �_ Mound �16 a � s.f. <br /> Gravel less s.f. <br /> Chamber s.f. <br /> NOTE: The contractor is required to provide an As-Built of the system before the <br /> final inspection. <br /> The undersigned hereby applies to the City of Orono for issuance of a septic system <br /> installation permit, agrees to do all the work in strict accordance with ordinances of the City <br /> and regulations of the State of Minnesota and certifies that all statements made on this <br /> application are complete, true and correct. <br /> Signature of Applicant /`�—� , �� Date: G–� � �o/� <br /> MPCA License No.: L 3 � �3 <br /> Staff Review: Accept De ied <br /> v <br /> Reviewer: Date: <br /> Reason for Denial: <br /> Comments (to be printed on inspection card): <br /> 2 /2 <br />