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CITY OF ORONO * z 0 1 4 - 0 1 z 0 5 * <br /> 2750 KELL�Y PARKWAY DATE ISSUED: 10/20/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 F`AX: (952) 249-4616 <br /> ADDRESS : 3235 GRAHAM Hll_L RD <br /> PIN : OS-] 17-23-14-0068 <br /> LEGAL DESC : URAHAM HILL PRESERVE <br /> : LOT 4 BLOCK 1 <br /> PERMIT TYPF. : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> ACT[VITY : 434-RESIDENTIAL <br /> VALUATION : $ 35,000.00 <br /> NO'1'I:: PLEASF,F[LL IN THL FOLL.OWING: <br /> VALUATION OF PERM11`. $35,000.00 <br /> TYPI?OF PERMIT THIS PAYMENT IS POR: DE'I'�CHED GARAGG& PORCH <br /> PGRMI�I�� "1�131S PRE-PAYMI?N'I�IS"[�IED TO:2014-01206 <br /> APPLICANT ADVANCED PLAN REVIEW 338.33 <br /> TOTAL 338.33 <br /> THOMAS BREN HOMES Payment(s) <br /> 2073 WAYZATA BLVD. W. #50 CHECK 14770 338.33 <br /> WAYZATA, MN 55391 <br /> (952)475-6777 <br /> Minnesota State License#: BUIL-BC 128144 <br /> OWNER <br /> KILL, BOB& COURTNEY <br /> 3235 GRAHAM HILL RD <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work tbr H�hich this permit is issued shall be pertormed according to <br /> the approved plans and specifications,applicable City approvals,and Che <br /> State Building Code. 'I'his permit is for only the work described and does <br /> not grant pennission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type ot�work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and becomc null and void if construction authorized is not <br /> commeneed within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time atter work has commeneed. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This pern�it may be <br /> rcvoked at any time lor due cause. <br /> / / <br /> Applicant Permitee Signature Datc Issued F3y Signature Date <br />