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� - CITY OF ORONO * z 0 1 2 - 0 0 3 8 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/1 U2012 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3150 RIDGEWOOD CIR <br /> PIN : 04-117-23-23-0022 <br /> LEGAL DESC : ROUTSON ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> ACTIVITY : MOUND SYSTEM-SEPTIC <br /> NOTE: (3)PRECAST CONCRETE TANKS- 125Q 100Q 1250 <br /> MOUND TREATMENT SYSTEM-630 S.F. <br /> APPLICANT SEPTIC NEW 200.00 <br /> VOLKENANT INC. STATE SURCHARGE SEPTIC 5.00 <br /> 1030 CO RD 83 TOTAL 205.00 <br />� MAPLE PLAIN,MN 55359 <br /> (763)479-1547 <br /> Minnesota State License#: 1709 <br /> OWNER <br /> HERRERA,CARLOS <br /> 3150 RIDGEWOOD CIRCLE <br /> LONG LAKE,MN 5535Cr <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 permi[is for only the work described and does <br /> not grant permission for additional or related work which requires sepazate <br /> permiu. 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 /> � � �/ i/Z � /! i/�� <br /> Applicant ermitee Signat Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />