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CITY OF ORONO 11.111.111 IILI 11,11 III III II,II <br /> 2750 KELLEY PARKWAY * 2016 - 00 <br /> DATE ISSUED: 09/13/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 470 ORCHARD PARK RD <br /> PIN : 32-118-23-23-0011 <br /> LEGAL DESC : ORCHARD FARMS <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SEPTIC(NEW OR REPLACEMENT) <br /> ACTIVITY : SEPTIC(MOUND) <br /> NOTE: MOUND SYSTEM-500 S.F. <br /> PRECAST CONCRETE TANKS-2250 AND 1000 GALLON TANKS <br /> APPLICANT SEPTIC NEW OR REPLACEMENT 400.00 <br /> MARTYS EXCAVATING TOTAL 400.00 <br /> Payment(s) <br /> 7185 RUTZ LAKE ROAD CREDIT CARD 1567 400.00 <br /> MAYER,MN 55360 <br /> (952)657-2548 <br /> Minnesota State License#:BUIL-768 <br /> OWNER <br /> JONATHAN NORRIS/CATHERINE MORRISON <br /> 2080 WEBBER HILLS RD <br /> WAYZATA,MN 55391- <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. <br /> /‘ /9 -e IS 0 9/ 3/ Ai" <br /> Applicant Permitee Signature Date Issued By Signature Date <br />