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' � CITY OF ORONO PERMIT NO.: 2009-00529 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 08/26/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3315 GRAHAM HILL RD � <br /> P[N : OS-117-23-I1-0007 � <br /> . <br /> LEGAL DESC : GRAHAM H[LL PRESERVE � <br /> : LOT 000 BLOCK 000 ' <br /> PERMIT TYPE . ADVANCED PLAN REVIEW ��'`~ ` -- <br /> 19N `w;r'.� .��-� ��:;i: <br /> PROPERTY TYPE : RESIDENT[AL �t r�'�: :;�C�3t:�`�s ti�:4 c;:, cC�%) I <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> JJC <br /> . . iOi�lf � �I <br /> �"r�E�kl:,:tz Exr�a Fees <br /> ___..�_.__.,..�_._ ; <br /> J,4l'�;.�i9 � <br /> ;�-1; cl�s C���7r4.aF? ;,=�;Ya.�� i <br /> ��r: <br /> -;`�RS u11f�0 ��_� ', <br /> �;�7L'I 1:i� �.�'.�i.?�� i <br /> . .. �i�. - '-- -__.. �.�V <br /> ..r: .����� � <br /> APPLICAI�T ADVANCED PLAN REVIEW 5,405.89 <br /> CHARLES CUDD LLC TOTAL 5,405.89 <br /> 15050 23RD AVENUE N <br /> PLYMOUTH, MN 55447- <br /> �) <br /> Minnesota State License#: 20635245 <br /> OWNER <br /> JMA Builders LLC <br /> ,JMA BUILDERS LLC <br /> 6065 EUREKA RD <br /> SHOREWOOD, MN 55331- <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.'Chis 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 contormance 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 />