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CITY OF ORONO PERMIT NO.: 2008-00351 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 10/31/2008 <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS 44 : 4665 WEST BRANCH RD <br /> PIN : 07-117-23-22-0015 <br /> LEGAL DESC : WEST BRANCH HILL <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> APPLICANT SEPTIC NEW 100.00 <br /> ES&SONS EXC. INC. STATE SURCHARGE SEPTIC 0.50 <br /> 263 82 <br /> 263 82ND STREET S.E. <br /> MONTROSE,MN 55303- TOTAL 100.50 <br /> (763)479-1762 <br /> Minnesota State License#: 640 <br /> OWNER <br /> GROVE,JOHN&CARMEN <br /> 4665 WEST BRANCH RD <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 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 im for due aus . <br /> ---...4. lb 1 v ,or <br /> .,-,,,,, , , <br /> Applicant Permit a at re Date Issued B�ture I e Date <br /> Y a <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB a ABOVE. <br />