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CITY OF ORONO * Z 0 1 7 - 0 0 4 5 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/09/2017 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1070 HUNTER DR <br /> PIN : 25-118-23-42-0008 <br /> LEGAL DESC : MOONEY LAKE PRESERVE <br /> : LOT 3 BLOCK 2 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SEPTIC(NEW OR REPLACEMENT) <br /> ACTIVITY : SEPTIC(MOUND) <br /> NOTE: NEW MOUND SEPTIC SYSTEM <br /> 1250 TANKS AND 1250 PUMP <br /> APPLICANT SEPTIC NEW OR REPLACEMENT 400.00 <br /> BOHN WELL DRILLING CO. TOTAL 400.00 <br /> 18190 DAIRY LANE Payment(s) <br /> JORDAN,MN 55352- CHECK 4276 400.00 <br /> (952)445-4809 <br /> Minnesota State License#:BUIL-1043 <br /> OWNER <br /> GRONHOLZ, SCOTT&AMY <br /> 2008 SUGARWOOD DRIVE <br /> ORONO,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed acwrding 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 dces <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 l80 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> r <br /> �e ! �� � � � <br /> Applicant Permitee Signature Date Issued By ature Date <br />