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CITY OF ORONO * 2 0 1 S - 0 0 0 4 8 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/15/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4680 NORTH SHORE DR <br /> PIN : 07-117-23-32-0050 <br /> LEGAL DESC : TONKAVIEW GARDENS <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE SEWER <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE DISCONNECTION <br /> NOTE: SEWER DISCONNECT ONLY <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> STATE SURCHARGE SEWER&WATER 5.00 <br /> PROFESSIONAL GROUNDS MAINTENANCE MAIL-IN FEE 2.00 <br /> 1515 CONSTANCE BLVD NE <br /> HAM LAKE,MN 55304 TOTAL 57.00 <br /> (763)434-3494 Payment(s) <br /> Minnesota State License#: SW-057136 CHECK 52423 57.00 <br /> OWNER <br /> Tonka Lake Properties LLC <br /> 3535 CTY RD 44 <br /> MINNETRISTA, MN 55364- <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 /> revoked at any time for due cause. n <br /> Applicant Pe itee 'gnature Date Issued By Signature Date <br />