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r-- s .. �f ;� /�;1 f i i 1,j{,1 0 a„ t , , P "`k <br /> 1;11,11 11Y...3�:J:J�:.i7.:d° 1�= 9°1[ tl1:�f11 111°I`�' �'" :LL:d IT I� '.'t°� , `. <br /> I will be installing the following: <br /> Tanks <br /> ® Precast Concrete ❑ Fiberglass ❑ Plastic 0 Other <br /> (list manufacturer) <br /> Number of Tanks: 2 <br /> Size of Tanks: 2000 1500 <br /> Treatment System <br /> Trenches s.f. <br /> Mound s.f. <br /> Gravel less s.f. <br /> Chamber s.f. <br /> NOTE: The contractor is required to provide an As-Built of the system before the <br /> final inspection. <br /> The undersigned hereby applies to the City of Orono for issuance of a septic system <br /> installation permit, agrees to do all the work in strict accordance with ordinances of the City <br /> and regulations of the State of Minnesota and certifies that all statements made on this <br /> application are complete, true and correct. <br /> Signature of Applicant .Lao- Sonat Date: 06-08-2016 <br /> MPCA License No.: #0192 <br /> Staff Review: Jg Accept ❑ Denied <br /> / G'c3t <br /> Reviewer: c( - R4r 3-342Date: 6/22/16 <br /> Reason for Denial: <br /> Comments (to be printed on inspection card): P rvvantk5ewvcv0- f)a.-. s. ncaQ <br /> by ovn,tr n I- b�.yyr <br /> 2/2 <br />