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o � . . <br /> R CITY OF ORONO PERMIT NO.: 2oiaoosn <br /> �' 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 08/03/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 115 LUCE LINE RIDGE <br /> PIN : 31-118-23-34-0006 <br /> LEGAL DESC : PAINTERS CREEK <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> ACTIVITY : MOLJND SYSTEM-SEPTIC <br /> APPLICANT SEPTIC NEW 200.00 <br /> BOHN WELL DRILLING CO. STATE SURCHARGE SEPTIC 5.00 <br /> 16550 BASELINE AVE. MISC FEE 0.00 <br /> SHAKOPEE,MN 55379 <br /> (952)445-4809 TOTAL 205.00 <br /> Minnesota State License#: 1043 <br /> OWNER <br /> RIZZOLO,JAMES ERICSON&V <br /> 115 LUCE LINE RIDGE <br /> MAPLE PLAIN,MN 55359 <br /> C-�\ <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit 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 does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 180 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �s. •�? /.�� �l � l/c1 � � � Jv <br /> Applicant rmitee Signature Date Iss y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />