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� _ �► CITY OF ORONO * 2 0 1 2 - 0 0 6 1 B * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/28/2012 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1545 MAPLE PL <br /> PIN : 08-117-23-33-0029 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 007 BLOCK 006 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$10,000 ESCROW IS TIED TO ZONING PERMIT 2012-00617-PD CHECK#2001-MAPLE PLACE LLC-TODD HOLMERS <br /> APPLICANT ESCROW FEE-APPLICANT 10,000.00 <br /> Maple Place LLC ESCROW FEE-DEVELOPER 0.00 <br /> 550 25TH AVE N <br /> ST.CLOUD,MN 56303- •TOTAL 10,000.00 <br /> OWNER <br /> Maple Place LLC <br /> 550 25TH AVE N <br /> ST.CLOUD,MN 56303- <br /> AGREEMENT AND SWORI�i STATEMENT <br /> The work for which this permit is issued shall be perfortned 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 /> 1'he 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 /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />