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„ - , <br /> CITY OF ORONO * 2 0 1 2 - 0 P1 6 1 7 * <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 : ZONING PERM[T <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : LAND ALTERATION(501+CU YDS) <br /> NOTE: $AMOUNT TO BE DETERMINED BY CUP-S/B COLLECTED IN ESCROW FEE <br /> ACTUAL ESCROW FEE AMOUNT COLLECTED $10,000 <br /> HOW DID THEY PAY? CHECK &WHO PAID?MAPLE PLACE LLC-TODD HOLMERS <br /> ESCROW PERMIT#:(DON'T FORGET TO ENTER) — D�I D <br /> ESCROW FEE FOR: EROSION CONTROL&ENGINGERING REVIEW COSTS <br /> APPLICANT MAJOR LAND ALTERATION 50.00 <br /> Maple Place LLC ENGINEERING REVIEW COSTS <br /> 550 25TH AVE N TOTAL 50.00 <br /> ST. CLOUD, MN 56303- <br /> OWNER <br /> Maple Place LLC <br /> 550 25TH AVE N <br /> ST. CLOUD, MN 56303- <br /> AGREEMEIVT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifica[ions,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 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 I 80 days at any time after work has commenced. <br /> The 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 /> �� _ � /L� / zd t _ � l o� 8/ � oZ-, <br /> Applicant Permitee Signature Date Issue y S�gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />