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12/16/2008 22:46 7634975011 SPTESTINGINC PAGE 12113 <br /> � �iotificat�on: <br /> I hcreby c�rti��y w�tli my sxg�nariue, as t�he D sign�r, that a11 data�or th�a�aezati.ng permxt <br /> a�plxcation is hve and correct the best of rx�. know�edge. I agree to indexxmify and save ity of <br /> Orono har.�ril�ss fr.vzn all losses, damages, c sts and charges that may bc incurred by the Cit <br /> Y <br /> because ofm� fa,ilure to com�ly with th��r visions o£this Ordi�ance. <br /> � <br /> t� � ���r'`— �� til - l.�?�n� <br /> Signaturc of Aesigner �VIPCA xcense# Date <br /> �'t�-� � ���1�'�✓I �,S �.. ;� '��o�-y,�'�� 3,�'la� <br /> Pri�,ted Name' S r�w ri�. �y� SS Phone Numbet <br /> Addre s <br /> I hexeby ce�tii�►with A�ay signature, as the o n�r o�the property wl�ere this syste�c�n is Co b <br /> installed, that�t xs my r�sponsibility to z.nain ai.�.an annua( op�rati,�ng perr,�it in accordanc w�ith <br /> Orono Ordinahce No. 199 and MN Rul�s C apter 7Q80. It is tlae ov►me�s responsibility t �infor�m <br /> new�xoperty�wn�rs of Operat�ng Pcrnut a d Performance Syatem. Operating Permits e non� � <br /> transfera.ble at�ld all subsequent owiners mus ap�ly�or a new op�rati�,g p�rmit wiith Oron . <br /> Signatuxe of IOwaxer Pri�t� name AatE � <br /> Applicatioz��viewed by Date ppxov�d or Aenied MPCA,R�g. # <br /> i 4 <br />