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, <br /> •� <br /> ��� ���� �.an.,�.�_ ��a��� <br /> I will be installing the foilowing: <br /> Ta ks <br /> � Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other <br /> . (lisl manufacturer) <br /> Number of Tanks: � <br /> 1- �3t�I p.tv� p�Qs,�►n e`' <br /> Size of Tanks: - ��0� <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-Buiit 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 /> Signature of Applicant � Date: <br /> MPCA License No.: � ��/c�i <br /> Staff Review: �Accept Denied <br /> Reviewer: � Date: � �(Y <br /> Reason for Denial: <br /> Comtnents (to be printed on inspection card): <br /> 2 / 2 <br />