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` CITY OF ORONO PERMIT NO.: 2011-00812 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 08/1U2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1100 MILLSTON RD <br /> PIN : 10-117-23-14-0015 <br /> LEGAL DESC : MILLSTON <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> ACTIVITY : MOUND SYSTEM-SEPTIC <br /> NOTE: SEPTIC FOR MAIN HOUSE-POOL HOUSE <br /> (3)PRECAST CONCRETE TANKS-2,000-2,000- 1,250 GALLONS MOLJND-2,940 S.F. <br /> GUEST HOUSE <br /> (2)PRECAST CONCRETETANKS- 1,500 AND 1,000 GALLONS MOLTND-2,940 S.F. <br /> APPLICANT SEPTIC NEW 200.00 <br /> ADVANCED EXCAVATING STATE SURCHARGE SEPTIC 5.00 <br /> 702 RAILWOOD ST W <br /> NORWOOD YOUNG AMERICA,MN 5536& TOTAL 205.00 <br /> �) <br /> Minnesota State License#: 2859 <br /> OWNER <br /> BURWELL,MR.&MRS.RODNEY P <br /> 7901 XERXES AVE S <br /> BLOOMINGTON,MN 55431- <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,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 sepazate <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 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ��/ �L� � 1 ( �--��'�� �-- , <br /> Applicant rmitee Signature Date Issued By i ature v Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB E. <br />