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� ' � CITY OF ORONO * 2 B 1 3 - 0 P1 9 9 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/25/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2975 CASCO POINT RD <br /> PIN : 20-117-23-31-0045 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 089 BLOCK 000 <br /> PERMIT TYPE : SEWER& WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTTON TYPE : DISCONNECTION <br /> NOTE: SEWER AND WATER DISCONNECT <br /> APPL[CANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> D.S.M. EXCAVATING WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> 2916 ENTERPRISE AVE <br /> HASTINGS, MN 55033- STATE SURCHARGE SEWER& WATER 5.00 <br /> (651)480-1355 TOTAL 105.00 <br /> PAID WITH CC# 9252 <br /> OWNER <br /> GOODWIN, KURT& BARBARA <br /> 7310 KURVERS POINT ROAD <br /> CHANHASSEN, MN 55317- <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 approvais,and the <br /> State Quilding Code. 'This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permi[s. All provisions of laws and ordinances governing[his 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 /> Nw,�� � � � � � 13 ..� � �� � �5 r <br /> � � <br /> Ap—p�cant Permitee Signature Date Issued Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />