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CITY OF ORONO PERMIT NO.: 2009-00804 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 1U10/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3355 GRAHAM HILL RD <br /> PIN : OS-117-23-11-0008 <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 PERMI"I':$ 1,991,471.00 <br /> TYPE OF PEKMIT THIS PAYMENT IS FOR: BUILDING PERMIT FOR NEW HOUSE <br /> PRE-PAYMENT IS TIED TO: PERM17'-2009-00805 <br /> APPLICANT ADVANCED PLAN REVIEW 6,471.89 <br /> CHARLES CUDD LLC TOTAL 6,471.89 <br /> 15050 23RD AVENUE N <br /> PLYMOUTH, MN 55447- <br /> �) <br /> Minnesota State License#: 20635245 <br /> OWNER <br /> BPS Properties, LLC <br /> 201 LAKE ST E <br /> WAYZATA, MN 55391- <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 thc <br /> Sta[e Quilding Code. This permit is for only the work dcscribed and docs <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 au[horized 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 E3uilding 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 />