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CITY OF ORONO * Z 0 1 5 - 0 0 9 4 4 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 07/27/2015 <br /> , �� ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3210 GRAHAM HILL RD <br /> p[l� : OS-117-23-11-0009 <br /> LEGAL DESC : GRAHAM HILL PRESERVE-2 <br /> : LOT 1 BLOCK 2 <br /> PERMIT TYPE : ADVANCED PLAN REV[EW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 150,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOW[NG: <br /> VALUAT[ON OF PERMIT:$ 150,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: ATTACHED GARAGE <br /> PERMIT#TH[S PRE-PAYMENT IS TIED TO:2015-00943 <br /> APPLICANT ADVANCED PLAN REVIEW 925.98 <br /> TOTAL 925.98 <br /> KONEN HOMES INC. Payment(s) <br /> 20545 LINWOOD RD CHECK 13962 925.98 <br /> DEEPHAVEN, MN 55331- <br /> (952)949-2485 <br /> Minnesota State License#: BUIL-BC103407 <br /> OWNER <br /> MESENBURG, MATT& MICHELLE <br /> 2525 KELLER ROAD <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> "t'he 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[he work described and does <br /> not grant permission for additional or related work which requires separate <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 ifconstruction 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 /> revoked a time for e cause. � ���� <br /> J � � <br /> � � �� � �, �� �� <br /> Ap a itee Signature Dat [ssued By Signat e Date <br />