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CITY OF ORONO PERMIT NO.: 2010-00655 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 08/09/2010 <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1350 ORONO OAKS DR <br /> PIN : 35-118-23-34-0006 <br /> LEGAL DESC : ORONO OAKS <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE EPTIC <br /> PROPERTY TYPE SIDENTIAL <br /> CONSTRUCTION TYPE EW <br /> ACTIVITY OUND SYSTEM-SEPTIC <br /> NOTE: PRECAST CONCRETE TANKS <br /> MOUND SYSTEM-41X81 SQUARE FEET <br /> SCARIFY AS PER DESIGN <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 /> 0 TOTAL 205.00 <br /> Minnesota State License#: 1888 <br /> OWNS <br /> RIDGEWAY,RON&KAREN 1 <br /> 1350 ORONO OAKS DR <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 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 cons ction authorized is not <br /> commenced within 180 days of the dateissuance,or if construction is <br /> suspended for a period of 180 days at any l 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 for due cause. / <br /> .- ti—>v e-/ 9 I / ,., ,- 47 9 iso <br /> Applicant Permitee Signature Date Is- Y By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />