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' . CITY OF ORONO * z 0 1 2 - 0 1 1 4 5 * <br /> , � 2750 KELLEY PARKWAY DATE ISSUED: 1U09/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1865 LAKEVIEW TER <br /> PIN : 27-118-23-42-0015 <br /> LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN <br /> : LOT 003 BLOCK 002 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECT[ON <br /> APPLICANT SEWER CONNECT/DISCONNECT'/REPAIR 50.00 <br /> CDR EXCAVATING INC. STATE SURCHARGE SEWER& WATER 5.00 <br /> 10559 CO. RD 16 <br /> DELANO, MN 55328- S.A.C. 2,365.00 <br /> (952)955-3673 TOTAL 2,420.00 <br /> OWNER <br /> ASKE-REMICK, SHARILLYN <br /> 1865 LAKEVIEW TER <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 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 /> 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 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 /> ��re key"ah ny time for due cause. � �%�� ) <br /> /� � � � c� _ ,� <br /> s— -/vL�Z"`� ��#'l � � :� . : ; , v 7'}�c �' � � / / <br /> Appl�cant Perm�tee Signature Date [ssued By Signature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />