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11111112111111111111111111111111111 <br /> CITY OF ORONO * 20 1 8 _ 0 0 2 1 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/27/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 765 BOULDER DR <br /> PIN : 33-118-23-11-0134 <br /> LEGAL DESC : STONEBAY <br /> : LOT 1&2 BLOCK 1 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: SEWER AND WAER CONNECTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> BOLLIG&SONS,INC. STATE SURCHARGE SEWER&WATER 1.00 <br /> 11401 COUNTY ROAD 3 <br /> HOPKINS,MN 55343- TOTAL 101.00 <br /> (952)938-4133 Payment(s) <br /> CHECK 36769 101.00 <br /> OWNER <br /> Stonebrook Development LLC <br /> 17149 LINCOLN ST NE <br /> HAM LAKE,MN 55304- <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 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 180 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 /> revokedatany time for due cause. <br /> l o (p 1/ <br /> licant Permitee Si ature Date Issued B <br /> P Sm Y gnature Date <br />