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� � CITY OF ORONO PERMIT NO.: 2011-00996 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 09/09/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3315 GRAHAM HILL RD <br /> P1N : OS-117-23-11-0007 <br /> LEGAL DESC : GRAHAM HILL PRESERVE <br /> : LOT 6 BLOCK 1 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> ACTIVITY : MOUND SYSTEM- SEPTIC <br /> NOTE: (3)PRECAST CONCREI'E TANKS- 1500 GALLON EACH <br /> MOUND TREATMENT SYSTEM-44 X 91 S.F. <br /> APPLICANT SEPTIC NEW 200.00 <br /> BURNS EXCAVATING, INC. STATE SURCHARGE SEPTIC 5.00 <br /> 3470 CO. RD 21 <br /> MAYER, MN 55360- MISC FEE 0.00 <br /> (612)685-4303 TOTAL 205.00 <br /> Minnesota State License#: 1888 <br /> OWNER <br /> HEURUNCT, MARK& SUE <br /> 225 6TH ST S#2900 <br /> MINNEAPOL[S, MN 55402- <br /> AGREEMENT AND SWORN STATEMEi�'T <br /> The work for���hich 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 describcd 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 specitied 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 l80 days at any time afrer 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 caus . ��� <br /> -.�_ ��� cS�i Sc.�i���� �,���� c c,�rv� c �;l � �C���— /l <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />