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CITY OF ORONO * 2 0 1 4 - 0 0 4 2 3 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: OS/08/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1575 MAPLE PL <br /> PIN : 08-117-23-33-0032 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT Ol0 BLOCK 006 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPF. : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> N07'E;: NEW SEWER CONNI�CTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> STATE SURCHARGE SEWER& WATER 5.00 <br /> J P SCHMIT'L CONSTRUCTION COMPANY LL TOTAL 55.00 <br /> 16450 117TH AVE N <br /> MAPLE GROVE, MN 55369- Payment(s) <br /> CHECK 11566 55.00 <br /> OWNER <br /> Maple Place LLC <br /> 550 25TH AVE N <br /> ST. CLOUD, MN 56303- <br /> ACREEMENT AND SWORN STATEMENT <br /> I�hc work for which this permit is issued shall be performed accordine to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is t�or 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 specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> conunenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afier work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> reques[ed in conformance with d�e State Building Code.This pennit may be <br /> revoked af an �m for due c <br /> % <br /> / / <br /> Applicant Permitee Signature Date Issue By Signature Date <br />