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� <br /> CITY OF ORONO * 2 0 1 4 - 0 1 2 0 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/OU2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3235 GRAHAM H1LL RD <br /> PIN : OS-117-23-14-0068 <br /> LEGAL DESC : GRAHAM HILL PRESERVE <br /> : LOT 4 BLOCK 1 <br /> PERMIT TYPE ; ADDITION/ REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN / REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 35,000.00 <br /> NOTE: SEPARATL PGRMI"I�S REQUIRED: 1=IRGPLACE, GLF,CTRICAL(S�(�A"�E) <br /> DETi1C}[ED GARAGF AND DETACIIF_,D SCREEN PORCH <br /> NOTE: PRIOR TO RELEASE OF ESCROW MONEY AN AS-BUIL'T SURVEY MUST[3G SUBMITTED AND ANPROVED: IN[T[AL:.-.- i �� <br /> � . <br /> APPL[CANT PERMIT FEE SCHEDULE 520.50 <br /> STATE SURCHARGE(VALUATION) 17.50 <br /> THOMAS BREN HOMES TOTAL 538.00 <br /> 2073 WAY7ATA BLVD. W. #50 Payment(s) <br /> WAYZATA, MN 55391 <br /> (952)475-6777 CHECK 14827 538.00 <br /> Minnesota State License#: BUIL-BC 128144 <br /> OWNER <br /> KILL, �(JB&COURTNEY <br /> 3235 GRAHAM HILL RD <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work t�or which this permit is issucd shall be performed according to <br /> thc approvcd plans and specitications,applicable City approvals,and the <br /> State[3uilding Code. This 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 govcrnine this type of work <br /> shall be compied with whether or not specitied 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 da��s at any time after work has commenced. <br /> T'he applicant is responsible for assuring all required inspections are <br /> requcsted in conformance with the State Building Code.This permi[may be <br /> revoked at anv time for due cause. <br /> ''��;__L_� �' � , <br /> ,,�`✓� /�:'� /� 0 � lZ� i0 i� <br /> Applicant rmitee Signature �ate Iss E3y Signature Date <br />