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CITY OF ORONO * 2 0 1 3 - 0 PJ 9 2 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/16/2013 <br /> ORO1�I0, MN 55356- <br /> (952) 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1565 MAPLE PL <br /> PIN : 08-117-23-33-0031 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 009 BLOCK 006 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 201,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$201000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW STRUCTURE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-00926 <br /> APPLICANT ADVANCED PLAN REVIEW 1,080.79 <br /> Maple Place LLC TOTAL 1,080.79 <br /> 550 25TH AVE N Payment(s) <br /> CHECK 3265 1,080.79 <br /> ST. CLOUD,MN 56303- <br /> Minnesota State License#: 20639439 <br /> OWNER <br /> Maple Place LLC <br /> 550 25TH AVE N <br /> ST. C[.OUD, MN 56303- <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 Ciry 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 governing 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 aze <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 />