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I �- <br /> CITY OF ORONO * 2 PJ 1 7 - 0 1 1 6 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/20/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 540 SANDHILL DR <br /> PIN : 33-118-23-24-0019 <br /> LEGAL DESC : ORONO PRESERVE <br /> : LOT 12 BLOCK 1 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: SEWER&WATER CONNECTION <br /> APPLICANT SEWERCONNECT/DISCONNECT/REPAIR 50.00 <br /> WATERCONNECT/DISCONNECT/REPAIR 50.00 <br /> D.S.M. EXCAVATING STATE SURCHARGE SEWER&WATER 1.00 <br /> 2916 ENTERPRISE AVE <br /> HASTINGS,MN 55033- TOTAL 101.00 <br /> (651)480-1355 Payment(s) <br /> CREDIT CARD 5166 101.00 <br /> OWNER <br /> OPS Orono LLC <br /> 15250 WAYZATA BLVD#101 <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 afrer 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 /> � <br /> � p 2r�� � ��� � � ��� � �7 <br /> Applicant ermitee Signature Date ssued B gnature Date <br />