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CITY OF ORONO * 2 0 1 6 — fd 1 2 0 6 * <br /> � ' 2750 KELLEY PARKWAY DATE ISSUED: 10/03/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952 249-4616 <br /> ADDRESS : 4325 LAKEVIEW CT <br /> PIN : 06-117-23-43-0016 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 2 BLOCK 3 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SEPTIC(NEW OR REPLACEMENT) <br /> ACTNITY : SEPTIC(MOUND) <br /> NOTE: NEW MOUND SEPTIC SYSTEM <br /> (30 PRECAST CONCRETE TANKS EACH 1300 GALLONS <br /> APPLICANT SEPTIC NEW OR REPLACEMENT 400.00 <br /> TOTAL 400.00 <br /> HAYES&SONS EXC.INC. Payment(s) <br /> 263 82ND STREET S.E. CREDIT CARD 5293 400.00 <br /> MONTROSE,MN 55303- <br /> (763)479-1762 <br /> Minnesota State License#:sept-L640 <br /> OWNER <br /> Source Land Development Inc. <br /> 18215 45TH AVE N <br /> STE D <br /> PLYMOUTH,MN 55446- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed acwrding to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This pertttit is for oniy the work described and does <br /> not grant permission for additional or related work which requires sepazate <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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. ` <br /> ,�!/!.�'�/� / � � �� � ap �// /�� � � /V <br /> � r <br /> plicant Permitee Sigr►ature Date Iss ed B,� ignature Date <br />