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CITY OF ORONO PERMIT NO.: 200�-000�2 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 07/09/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1680 NORTH FARM RD <br /> PIN : 27-118-23-44-0010 <br /> LEGAL DESC : THE FARM AT LONG LAKE <br /> : LOT 009 BLOCK 001 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> APPLICANT <br /> SEPTIC NEW 100.00 <br /> ADVANCED EXCAVATING STATE SURCHARGE SEPTIC 0.50 <br /> 7650 COiJNTY RD 32 <br /> MN 55367- MISC FEE 0.00 <br /> O TOTAL 100.50 <br /> Minnesota State License#:2859 <br /> OWNER <br /> KAUFMAN, PHILIP&NICOLE <br /> 1680 NORTH FARM RD <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. 7'his 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 wark <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 af[er 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�ause. <br /> c..�`���`-'(, ��`�,�_� � � � i i D� <br /> Applicant Permitee Signature Date Iss By ignature - Date <br /> SEPARATE PERMITS REQUIRED FOR WORK HER THAN DESCRIBED ABOVE. <br />