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CITY OF ORONO * Z pJ 1 2 - 0 1 0 9 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/3U2012 <br /> ORONO, MN 55356- <br /> ,� � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3205 GRAHAM HILL RD <br /> PIN : OS-117-23-14-0065 <br /> LEGAL DESC : GRAHAM HILL PRESERVE <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> ACTIVITY : MOUND SYSTEM -SEPTIC <br /> NOTE: (3)PRECAS"I'CONCRETE TANKS- 1250 GALLON <br /> 650 S.F. MOUND TREATMENT SYSTEM <br /> APPLICANT SEPTIC NEW 200.00 <br /> STONEWOOD, LLC STATE SURCHARGE SEPT[C 5.00 <br /> 7407 WAYZATA BLVD TOTAL 205.00 <br /> MINNEAPOLIS, MN 55426- <br /> (952)697-5590 <br /> Minnesota State License#: 20594315 <br /> OWNER <br /> KISSNER, MATT&NEENA <br /> 505 S IOTH STREET <br /> MINNEAPOLIS, MN 55404- <br /> AGREEMENT AND SWORN STATEMENT <br /> "1'he work for which this permit is issucd shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and docs <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 /> eapire 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 atter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requestcd in conformance with the S[ate Building Code.This permit may be <br /> revoked at any.time�far � �, <br /> , �-��::l�d---- 1 �!� 3� �2��z <br /> /D �� 1 � /a- <br /> Applicant Permitee Signature Date [ssu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. <br />