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CITY OF ORONO PERMIT NO.: 2009-00819 <br /> � ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 1U16/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 520 NORTH ARM DR <br /> PIN : 06-117-23-31-0005 <br /> LEGAL DESC : VICTORIA ESTATES <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> �,.�<<�;<., <br /> i , <br /> NOTE: INSTALL NEW SEPTIC <br /> (3)PRECAST CONCRETE TANKS-SIZE OF TANKS- 1250 GALLONS <br /> MOUND SYSTEM-570 SQUARE PEET <br /> APPLICANT <br /> SEPTIC NEW 200.00 <br /> FESSEL ENVIRONMENTAL STATE SURCHARGE SEPT[C 0.50 <br /> 47562 141ST AVENUE <br /> WATERVILLE, MN 56096- TOTAL 200.50 <br /> (507)362-8829 <br /> Minnesota State License#: 156 <br /> OWNER <br /> PELLIZZER, TIMOTHY <br /> 520 NORTH ARM DR <br /> MOUND, 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 permi[is for only the work described and does <br /> not grant pe�mission 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 specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within I 80 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 /> r uested in conforman with th St Building Code.This permit may be <br /> v ed at any ti fo ue cau . <br /> �� � ��� � i i O <br /> A �cant Pe mitee Signature Date Is d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE. <br />