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' • CITY OF ORONO * Z � 1 8 - 0 0 3 8 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/30/2018 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 575 SANDHILL DR <br /> PIN : 33-118-23-24-0013 <br /> LEGAL DESC : ORONO PRESERVE <br /> : LOT 6 BLOCK 1 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: SEWER AND WATER CONNECTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> D.S.M.EXCAVATING WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> 2916 ENTERPRISE AVE STATE SURCHARGE SEWER&WATER 1.00 <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 dces <br /> not grant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances goveming 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 I80 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �� 3�34��g �� �� �1� <br /> Applicant Permitee Signature Date Issu y Signature Date <br />