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. CITY OF ORONO * z 0 1 5 - 0 1 1 2 9 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 09/30/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 515 NORTH ARM DR <br /> PIN : T000129 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 22 BLOCK 3 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW OR REPLACEMENT(SEPTIC SYSTEM) <br /> ACTIVITY : MOLTND SYSTEM-SEPTIC <br /> NOTE: (3)PRECAST 1300 CONCRETE TANKS <br /> MOUND 630 S.F. <br /> APPLICANT SEPTIC NEW OR REPLACEMENT 400.00 <br /> ELMER J. PETERSON COMPANY TOTAL 400.00 <br /> 5921 DAGUE AVE SE Payment(s) <br /> CHECK 19607 400.00 <br /> DELANO,MN 55328 <br /> (763)972-2420 <br /> Minnesota State License#: BUIL-219 <br /> OWNER <br /> Source Land Development Inc. <br /> NORTON,CHRIS <br /> 18215 45TH AVE N <br /> STE D <br /> PLYMOUTH,MN 55446- <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 goveming 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 time for due cause. <br /> - � �_ � ,� ,l� <br /> � <br /> ' a - Date [ssued B ignature Date <br />