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` ' � . CITY OF ORONO * 2 0 1 5 — 0 0 s s 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/17/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2474 CARMAN ST <br /> PIN : 20-117-23-12-0027 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT O11 BLOCK 006 <br /> PERMIT TYPE : WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : RE-CONNECT <br /> NOTE: WATER RECONNECTION/REPAIR <br /> NO PERMIT FEE PER SCOTT OBERAIGNER <br /> APPLICANT <br /> TOTAL <br /> GEOTECHNOLOGY LLC Payment(s) <br /> 19049 ORCHARD TRAIL <br /> LAKEVILLE,MN 55044- <br /> OWNER <br /> EDWARDS,WARD <br /> 2474 CARMAN ST <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permi[is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and [he <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 sepazate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permi[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 for due cause. <br /> � � /� r% S �1 �7/ /S <br /> App i nt Perm' Signat D te Issued Signature Date <br />