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,,,�,�.��1 CITY OF ORONO PERMIT NO.: 20�0-0�02� <br /> 2750 KELLEY PARKWAY <br /> a <br /> ORONO, MN 55356- DATE ISSUED: 1 U09/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 885 HUNT FARM RD <br /> PIN : 30-118-23-43-0004 <br /> LEGAL DESC : HUNTINGTON FARM <br /> : LOT 001 BLOCK 004 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> ACTIVITY : MOUND SYSTEM-SEPTIC <br /> APPLICANT SEPTIC NEW 200.00 <br /> HAYES& SONS EXC. INC. STATE SURCHARGE SEPTIC 5.00 <br /> 263 82ND STREET S.E. <br /> MONTROSE,MN 55303- TOTAL 205.00 <br /> (763)479-1762 PAID WITH CC# 5293 <br /> Minnesota State License#:640 <br /> OWNER <br /> PASSOLT&AMY AKERS-PASSOLT,PETER <br /> 885 HUNT FARM ROAD <br /> LONG LAKE,MN 55356- <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 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 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 aze <br /> •equested in conformance with the State Building Code.This permit may be <br /> •+�ed time for ue ause. <br /> � ----�... / <br /> /�/ / /� � <br /> licant Pe ' e Sig ture Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />