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' ' CITY OF ORONO * z B 1 4 - 0 1 0 5 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/17/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (9�2) 249-4616 <br /> ADDRESS : 1065 I,INDEN LA <br /> PIN : 07-117-23-14-0066 <br /> LEGA[.DESC : LINDEN BEACH <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: SEWER CONNECI'ION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> STATE SURCHARGE SEWER& WATER 5.00 <br /> SCHERBER COMPANIES <br /> 11415 VALLEY DRIVE S.A.C. 0.00 <br /> ROGERS, MN 55374- MAIL-IN FEE 0.00 <br /> TOTAL 55.00 <br /> Payment(s) <br /> CREDIT CARD 9805 �5.00 <br /> OWNER <br /> KUZNIK,TONY&CARRIE <br /> 10690 ZIEGLERS DRNE <br /> BROOKLYN PARK, MN 55443- <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,applicablc City approvals,and the <br /> State Building Code. "I'his 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 goveming[his type of work <br /> shall be compicd 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 1 SO days at any time after work has commenced. <br /> The applicant is responsiblc for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for d cause. <br /> ; `. <br /> J ` `7. � <br /> / -, C___� � , � ,� <br /> � <br /> Applican ermitee Signature Date Issued y Signature Date <br />