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� :� CITY OF ORONO PERMIT NO.: 2oos-oo3o� <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 10/15/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1950 SHORELINE DR <br /> PIN : 10-117-23-42-0012 <br /> LEGAL DESC : ORA PARK ON LAKE MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 35.00 <br /> WESTONKA SEWER&WATER STATE SURCHARGE SEWER&WATER 0.50 <br /> 6501 CO.RD 15 <br /> MOLJND,MN 55364 TOTAL 35.50 <br /> (952)472-4959 <br /> Minnesota State License#: 1804PM <br /> OWNER <br /> CORNEJO,MARIA <br /> 1950 SHORELINE DR <br /> WAYZATA,MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit 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 oniy the work described and dces <br /> not grant pertnission for additional or related work which requires separate <br /> pertnits. All provisions of laws and ordinances governing this type of work <br /> shail be compied with whether or not specified herein.This permit will <br /> expire and become null and void if consVuction 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 y time for se. <br /> � �� � i i <br /> A p cant Pe ee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />