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CITY OF ORONO PERMIT NO.: 2009-00331 <br /> , 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE 1SSUEu: 06/17/2009 <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3235 GRAHAM HILL RD <br /> PIN : OS-117-23-14-0068 <br /> LEGAL DESC : GRAHAM HILL PRESERVE <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 680,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME <br /> PERMIT#TH[S PRE-PAYMENT IS TIED TO:2009-00332 <br /> APPLICANT <br /> ADVANCED PLAN REVIEW 2,831.89 <br /> THOMAS BREN HOMES TOTAL 2,831.89 <br /> 2073 WAYZATA BLVD. W. #50 <br /> WAYZATA, MN 55391 PAID WITH CC# 9364 <br /> (952)475-6777 <br /> Minnesota State License#: 20128144 <br /> OWNER <br /> KILL, BOB &COURTNEY <br /> NORTH ARM LANE <br /> (NONE), <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 /> 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 />