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} , <br /> CITY OF ORONO * Z 0 1 5 - 0 0 9 P1 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/06/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 835 HUNT FARM RD <br /> P1N : 30-118-23-43-0003 <br /> LEGAL DESC : HUNTINGTON FARM <br /> : LOT 001 BLOCK 003 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW OR REPLACEMENT(SEPTIC SYSTEM) <br /> ACT[VITY : MOUND SYSTEM-SEPTIC <br /> APPLICANT SEPTIC NEW OR REPLACEMENT 400.00 <br /> CDR EXCAVATING INC. TOTAL 400.00 �\ <br /> Payment(s) <br /> 10559 CO. RD 16 CHECK 7256 400.00 <br /> DELANO,MN 55328- <br /> (952)955-3673 <br /> OWNER <br /> ST[LLMAN,ANDREW <br /> 835 HUNT FARM RD <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORIY STATEMENT <br /> The work for which[his 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 separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied wi[h 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 /> revoke at any time for due cause. <br /> � f <br /> - �-e-'� --�� ^`��U � i � i <br /> CJ ��� G V f. <br /> Applicant Permitee Signature Date I sued B� �gnature Date <br />