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• CITY OF ORONO PERMIT NO.: 2008-00378 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 11/17/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 505 WILLOW DR S <br /> PIN : 04-117-23-41-0001 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.229 <br /> LOT 008 BLOCK 000 <br /> PERMIT TYPE SEPTIC <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE NEW <br /> NOTE: <br /> PRECAST CONCRETE TANKS(3)-SIZE: 1,000 <br /> MOUND TREATMENT SYSTEM-550 S.F. <br /> FINAL COVER/TOP SOIL WILL BE TRUCKED IN <br /> APPLICANT SEPTIC NEW 100.00 <br /> RITTER EXCAVATING <br /> 7120 VERNON STREET STATE SURCHARGE SEPTIC 0.50 ROCKFORD,MN 55373 TOTAL 100.50 <br /> (612)477-5649 <br /> Minnesota State License#: 1921 <br /> OWNER <br /> ROBINSON,WILLIAM <br /> 505 WILLOW DR S <br /> LONG LAKE,MN 55356 <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 at any time for due cause. <br /> Cl�-el/IJ rf X <br /> Applicant Permitee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. <br />