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� � � CITY OF ORONO * Z 0 1 2 - P1 0 B 6 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/04/2012 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1595 MAPLE PL <br /> PIN : 08-117-23-33-0035 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 013 BLOCK 006 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: SEWER CONNECTION-PIPE SIZE-4" MATERIAL-SCHEDULE 40 <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> WESTONKA SEWER&WATER STATE SURCHARGE SEWER&WATER 5.00 <br /> 6501 CO.RD 15 <br /> MOUND,MN 55364 TOTAL 55.00 <br /> (952)472-4959 PAID WITH CC# 7464 <br /> Minnesota State License#: 1804 <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 issued shall be performed according to <br /> the approved plans and specifications,appiicable City approvals,and the <br /> State Building Code. This permit is for only the work described and dces <br /> not grant permission for additional or related work which requires sepazate <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 uring all required inspections are <br /> requested in1'onformance ' State Building Code.This permit may be <br /> revoked a fo e c . <br /> - l c / �� vl l/ �... <br /> A licant Perm ignat re D te Issued Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />