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' ' ' '� CITY OF ORONO <br /> * 20 16 - PJ 868 * <br /> 4 .,,,, 2750 KELLEY PARKWAY DATE ISSUED: 7/25/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS � : 525 KEENE AVE i <br /> PIN i • 02-117-23-31-0027 � <br /> LEGAL DESC � : MINNETONKA BLUFFS <br /> : LOT 000 BLOCK O15 I <br /> PERMIT TYPE : SEWER <br /> i <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE I : CONNECTION <br /> NOTE: NEW SEWER CO ECTION <br /> I <br /> i <br /> � <br /> I <br /> I <br /> i <br /> � I <br /> � <br /> I <br /> � <br /> � i <br /> j i <br /> IAPPLICANT SEWERCONNECT/DISCONNECT/REPAIR 50.00 <br /> STATE SURCHARGE SEWER&WATER ! 1.00 <br /> SITE WORKS DESIC�N TOTAL 51.00 <br /> 1225 HWY. 169 N. i' Payment(s) j <br /> PLYMOUTH,MN 55�441 CHECK 5746 i 51.00 <br /> (763)5443367 i' <br /> i <br /> i <br /> i OWNER � <br /> H&J Development Prmrshp <br /> DETTLOFF,HB&JC <br /> 1001 TWELVE O S CENTER DR#10 <br /> WAYZATA,MN 5391- <br /> i <br /> � <br /> AGREEM NT AND SWORN STATEMENT � <br /> I <br /> The work for which is permit is issued shall be performed according to j <br /> the approved plans specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission or additional or related work which requires separate <br /> permits. All provisi ns of laws and ordinances governing this type of work <br /> shall be compied wi whether or not specified hereia This permit will <br /> expire and become ull and void if construction suthorized is not j <br /> commenced within 80 days of the date of issuance,or if construction is <br /> suspended for a p od of 180 days at any time after work has commenced. <br /> The applicant is s onsible for assuring all required inspections are <br /> requested in con ance with the State Building Code.This permit may be <br /> revoked at any t' for due cause. _ <br /> �� �� ��� � � �� <br /> Applicant P tee Signature Date Issued By ' ature Date <br /> I <br />