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CITY OF ORONO * Z 0 1 2 — 0 0 9 0 5 * <br /> 27.50 KELLEY PARKWAY DATE ISSUED: 09/1U2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3340 GRAHAM HILL RD <br /> PIN : OS-117-23-11-0012 <br /> LEGAL DESC : GRAHAM HILL PRESERVE 2 <br /> : LOT 4 BLOCK 2 Cit of Orono <br /> PERMIT TYPE : ADVANCED PLAN REVIEW ��`� Kelley F'arkway <br /> Or�no M�V 55356 952-^c49-46{J� <br /> PROPERTY TYPE : RESIDENTIAL <br /> Receipt No: 3.OG?598 5ep 11, �Ulc <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 71,000.00 Yardscapes <br /> NOTE: PLEASE FILL IN THG FOLLOWING: previous Balance: ,UU <br /> VALUATION OP PF,RMIT:$ 71,000.00 Per0it5 < < � <br /> 2012-00945 3340 6raham .,4.,..,1 <br /> Hill Rd <br /> I''�'PE OF PERMIT THIS PAYMENT IS FOR: POOL 141-34410 <br /> Plan ChecklSite Exam Fees <br /> PERMIT#THIS PRE-PAYMENT IS TIFD TO: 2012-00904 <br /> Total: 545.51 <br /> ------���--- <br /> Check <br /> Check No: �6083 545.51 <br /> Payar: <br /> Yardscapes <br /> Tutal Applied: 545.51 <br /> Change Tendered: .00 <br /> ------------- <br /> 49/11/�12 O�:c�PM <br /> APYLICANT <br /> QUALITY POOLS ADVANCED PLAN REVIEW 545.51 <br /> 10350 WOODHILL BLVD TOTAL 545.51 <br /> LAKEVILLE, MN 55044 <br /> (612)985-7665 <br /> OWNER <br /> MCCARTY, LEROY& LISA <br /> 3340 GRAHAM HILL ROAD <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work tbr which this permit is issued shall be performed according to <br /> the approvcd 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 tbr 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 /> commeneed 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 E3uilding Code.This permit may be <br /> revoked at any time for due cause. � <br /> �/� /:'� '—�j /�"�,, <br /> X ".t��'�l '�L _� / ��I /Z-O I� �.__�..�, �F' �I�t�'-'\ <br /> - / / <br /> Applic nt Permitee Signature Date Issued By S�, ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABO . <br />