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- CITY OF ORONO PERMIT NO.: 2009-00270 <br /> � � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssUED: 06/OU2009 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> REPRINTED ON 7/14/2009 <br /> ADDRESS : 3285 GRAHAM HILL RD <br /> PIN : OS-117-23-11-0006 <br /> LEGAL D�ESC : GRAHAM HILL PRESERVE <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> A.CTNITY : MOUND SYSTEM-SEPTIC . <br /> APPLICANT <br /> SEPTIC NEW 200.00 <br /> DASEN CO. STATE SURCHARGE SEPTIC 0.50 <br /> 24245 NATCHEZ TOTAL 200.50 <br /> LAKEV[LLE, MN 55044- <br /> (952)461-2100 <br /> Minnesota State License#: 1612 <br /> OWNER <br /> BPS Properties, LLC <br /> LLC, BPS PROPERTIES, <br /> 201 LAKE ST E <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> I�he 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. "I'his permit is for only the work described and does <br /> not grant permission for addi[ional or related work which requires separate <br /> permits. nll provisions of laws and ordinances goveming this type of work <br /> shall be compied wi[h whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not �(,�� <br /> commenccd 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 � �J ��� <br /> The applicant is responsible for assuring all required inspections are � ,��' <br /> requested in conformance wi[h the State Building Code.This permit may be J'� <br /> revoked at any time for due cause. <br /> / / �'/ � <br /> Applicant Permitee Signature Date � � � <br /> Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />