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CITY OF ORONO <br /> * 2013 - 00340 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/13/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS 4731 NORTH SHORE DR <br /> PIN 07-117-23-32-0067 <br /> LEGAL DESC BERGQUIST&WICKLUNDS PARK <br /> : LOT MB BLOCK 5 <br /> PERMIT TYPE SEWER <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE CONNECTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> GROTH SEWER&WATER STATE SURCHARGE SEWER&WATER 5.00 <br /> 775 TOWER DRIVE <br /> HAMEL,MN 55340- TOTAL 55.00 <br /> (763)478-6712 <br /> OWNER <br /> BWB Holdings LLC <br /> 3800 AMERICAN BLVD W#100 <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 pians 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 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 an e foEduuse. <br /> —Applicalit PefmifeeSignature Date Issued By Sigo <br /> tu re Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />