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� <br /> ., <br /> � ����'�hfi�cr��Xa� I���'� ��' '^ s�.���x��� � '��" ���� s� G� �� � <br /> ,&,�$ � �r �«a� � y �.� . � - -s`S� ��� �yg'$ � � ��� �����`��,� <br /> �'4� ��: ��� ��� ;i:�,� � �'"�� �� �,�� a �����'�a� � xs.k=-� ,�, � ��.� � ?�,�`�``� .�v a��. <br /> � �1� � F �� � �� au`�� -`;t`�.�z �' � '� �'�,�� ��� � <br /> x,,. <br />�` ��� z ��� ���". <br /> I wili be installing the following: <br /> Tanks <br /> ['�,. Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other <br /> (list manufacturer) <br /> Number of Tanks: � <br /> Size of Tanks: � � � � �� � � <br /> Treatment System <br /> Trenches s.f. <br /> � Mound 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 /> � <br /> Signature of Applicant Date: ��� � �,� <br /> � � <br /> MPCA License No.: ��� ,S <br /> Staff Review: Accept Denied <br /> Reviewer: � Date: � 7 l <br /> Reason for Denial: <br /> Comments (to be printed on inspection card): <br /> 2 /2 <br />