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CITY OF ORONO PERMIT NO.: 2010-01098 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 11/16/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 125 TRUFFULA TR <br /> PIN 33-118-23-44-0041 <br /> LEGAL DESC MEADOW WOOD POND <br /> LOT 007 BLOCK 001 <br /> PERMIT TYPE SEPTIC <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE REPAIR <br /> NOTE: REPAIR SEPTIC <br /> APPLICANT SEPTIC REPAIR 100.00 <br /> ELMER J. PETERSON COMPANY STATE SURCHARGE SEPTIC 5.00 <br /> 5921 DAGUE AVE SE TOTAL 105.00 <br /> DELANO, MN 55328 <br /> OWNER <br /> JOERRES,JEFF&KELLY <br /> 125 TRUFFULA TR <br /> LONG LAKE,MN 55356- <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 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 /> re o t any time for due cause.AtM— / <br /> re <br /> rcant Per 'tee_Signature Date Issu By4SignaeDate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />