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` "' CITY OF ORONO * Z 0 1 4 - 0 0 4 2 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/08/2014 <br /> ORONO, MN 55356- � <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1555 MAPLE PL <br /> PIN : 08-117-23-33-0030 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 008 BLOCK 006 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> STATE SURCHARGE SEWER& WATER 5.00 <br /> J P SCHMITZ CONSTRUCTION COMPANY LL TOTAL 55.00 <br /> 16450 l 17TH AVE N Payment(s) <br /> MAPLE GROVE, MN 55369- CHECK 1 1566 55.00 <br /> OWNER <br /> Maple Place LLC <br /> 550 25TH AVE N <br /> ST. CLOUD, MN 56303- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issucd shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. 'Chis permit is Yor only the work described and does <br /> not grant permission fbr addi[ional or rela[ed work wfiich requires separate <br /> permi[s. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein."I�his 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 alter work has commcnced. <br /> 1'he applicant is responsible for assuring all required inspections arc <br /> requested in confonnance with[he State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> - / / <br /> A plic nt Permitee ignature Date Issued 13y Si ture Date <br />