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� <br /> � CITY OF ORONO * Z 0 1 6 — 0 fd 6 9 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/16/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3438 LYRIC AVE <br /> PIN : 17-117-23-43-0077 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 023 BLOCK 005 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : RE-CONNECT <br /> NOTE: SAC GRANDFATfIERED IN#3366 10/24/72. ALWAYS CHECK CURRENT MET COUNCIL RECULATIONS. <br /> APPLICANT SEWERCONNECT/DISCONNECT/REPAIR 50.00 <br /> TMS COMPANIES WATERCONNECT/DISCONNECT/REPAIR 50.00 <br /> 5990 MEADOWLARK LN STATE SURCHARGE SEWER&WATER 1.00 <br /> PRIOR LAKE, MN 55372- TOTAL 101.00 <br /> (612)414-5700 Payment(s) <br /> CREDIT CARD 7702 101.00 <br /> OWNER <br /> Landsource LLC <br /> KOHOUT, JAMISON <br /> 550 25TH AVE N <br /> ST CLOUD, MN 56303- <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 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 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 after 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 f e cause. <br /> � <br /> /, � �<-�-. � ���--i<<��� ��� , 1 ��� �� <br /> Ap 'cant e ee S�gnature Dat Issued By Signature Date <br />