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_ .. CITY OF ORONO * Z 0 1 3 - 0 0 PJ 4 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: Ol/16/2013 <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 : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: THIS$7500.00 ESCROW IS TIED TO BUILDING PERMIT#2012-00636-PD CHECK#8469-TODD HOLMERS <br /> APPLICANT ESCROW FEE-BUILDING 7,500.00 <br /> Maple Place LLC ESCROW FEE-EROSION CONTROL 0.00 <br /> 550 25TH AVE N <br /> ST.CLOUD,MN 56303- ESCROW FEE-GRADING 0.00 <br /> TOTAL 7,500.00 <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,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 sepazate <br /> permits. All provisions of laws and ordinances goveming 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 /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />