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CITY OF ORONO PERMIT NO.: 2011-00677 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/19/2011 (952) 249-4600 FAX: (952) 249-4616 REPRINTED ON 7/19/2011 ADDRESS : 875 WAYZATA BLVD W PIN : 35-118-23-44-0011 LEGAL DESC : UNPLATTED 35 118 23 : LOT MB BLOCK MB PERMIT TYPE : SEWER&WATER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : PASS THROUGH FEES NOTE: THIS IS THE SEWER&WATER CONNECTION&SAC FEE FOR NEW HOME PERMIT#2011-00505 PAID VIA:CK#56844$76,995.00 FOR THE SEWER&WATER PASS THROUGH FEES&CK#56843$64,670.00 FOR THE SAC CHARGES. 29 UNITS WERE CALCULATED BY THE METROPOLITAN COUNCIL IN A LETTER DATED 6/23/2011. APPLICANT SEWER CONNECTION CHARGE-WAYZATA 16,675.00 KRAUS ANDERSON CONST CO. WATER CONNECTION CHARGE-WAYZATA 60,320.00 P.O. BOX 158 CIRCLE PINES,MN 55014 S.A.C. 64,670.00 (952)249-9679 TOTAL 141,665.00 OWNER CPE Exchange 33968,LLC 200 SOUTH SIXTH STREET #1300 MINNEAPOLIS, MN 55402- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.