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CITY OF ORONO PERMIT NO.: 2010-00921 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/30/2010 <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 110 ORONO ORCHARD RD S <br /> PIN : 02-117-23-21-0022 <br /> LEGAL DESC : ORONO ORCHARDS <br /> : LOT 073 BLOCK 000 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : S ` oolLt <br /> 'NOTE: THIS SAC CHARGE OF$2100.00 WAS PAID WITH CHECK#7512 BY HOMEOWNER <br /> SEWER CONNECTION PERMIT 2010-00920 WAS ISSUED TO GROTH SEWER&WATER-PD CHECK# 13960 <br /> APPLICANT S.A.C. 2,100.00 <br /> WYFFELS,JAMES&MAUDE TOTAL 2,100.00 <br /> 110 ORONO ORCHARD RD S <br /> WAYZATA,MN 55391- <br /> OWNER <br /> WYFFELS,JAMES&MAUDE <br /> 110 ORONO ORCHARD RD S <br /> WAYZATA,MN 55391- <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 /> 'emits. All provisions of laws and ordinances governing this type of work <br /> ill be compied with whether or not specified herein.This permit will <br /> 're and become null and void if construction authorized is not <br /> fenced within 180 days of the date of issuance,or if construction is <br /> led for a period of 180 days at any time after work has commenced. <br /> 'icant is responsible for assuring all required inspections are <br /> in conformance with the State Building Code.This permit may be <br /> my time for due cause. <br /> 9/o0/ /d <br /> nitee Signature Date Issued y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />