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' � CITY OF ORONO PERMIT NO.: 2009-00603 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/22/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3235 GRAHAM HILL RD <br /> PIN : OS-117-23-14-0068 <br /> LEGAL DESC : GRAHAM HILL PRESERVE <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> ACTIVITY : MOUND SYSTEM - SEPTIC <br /> APPLICANT SEPTIC NEW 200.00 <br /> BURNS EXCAVATING, INC. STATE SURCHARGE SEPTIC 0.50 <br /> 3470 CO. RD 21 <br /> MAYER, MN 55360- MISC FEE 0.00 <br /> Q TOTAL 200.50 <br /> Minnesota State License#: ]888 <br /> OWNER <br /> KILL, BOB&COURTNEY <br /> NORTH ARM LANE <br /> > <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 permi[is for only[he work described and does <br /> not grant permission for additional or related work which requires separate <br /> pennits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit wiil <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[ime after work has commenced. <br /> The appligal�t is responsible for assuring all required inspections are <br /> reques cl i onformance with the State Building Code.This permit may be <br /> rev ed at�iiy�r d�cause. <br /> J' , <br /> '� �`�� � � --� � l �Zl ��� %� �, O <br /> Applicant Per i ignatur/ Date Iss By ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE. <br />