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CITY OF ORONO PERMIT NO.: 2011-01536 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: OU26/2012 <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 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 1,200,000.00 <br /> NOi'E: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT: $ 1,20Q000.00 <br /> 1'YPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT-NEW HOME <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2011-01537 <br /> APPLICANT ADVANCED PLAN REVIEW 4,391.89 <br /> STONEWOOD, LLC <br /> TOTAL 4,391.89 <br /> 7407 WAYZATA BLVD <br /> MINNEAPOLIS,MN 5542Er PAID WITH CC# 0097 <br /> (952)697-5590 <br /> Minnesota State License#: 20594315 <br /> OWNER <br /> MCCARTY, LEROY& LISA <br /> 3340 GRAHAM H[LL ROAD <br /> LONG LAKE, MN 55356- <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 perm�ssion 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 l80 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 fs 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 />