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CITY OF ORONO PERMIT NO.: 2011-00040 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE �ssuE�: OU19/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3380 GRAHAM HILL RD <br /> PIN : OS-117-23-11-0013 <br /> LEGAL DESC : GRAHAM HILL PRESERVE 2 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYI'E : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIGW <br /> VALUATION : $ 725,000.00 <br /> NO"i�G: YLEASG P1LL IN THE FOLLOWING: <br /> VnI.Ui1T�ON OF PF,RM1�1': $72�.000.00 <br /> "I�YPN,01=PERMIT THIS YnYMGNT(S FOR: NI;W STRUCTURE <br /> PI:RMI�I�#"fH]S PRGPAYMI;NI� IS T[ED TO: 2010-00041 <br /> APPLICANT <br /> ADVANCED PLAN REVIEW 2,978.14 <br /> RUDOW, DAVID TOTAL 2,978.14 <br /> 3380 GRAHAM HILL RD <br /> ORONO, MN 55356- <br /> OWNER <br /> RUDOW, DAVID <br /> 3380 GRAHAM HILL RD <br /> ORONO, MN »356- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc��°ork for which this permit is issued shall bc performed according ro <br /> the approved plans and specifications,applicable City approvals.and thc <br /> State[3uilding Code. 'I�his pennit is for only the���ork described and docs <br /> not crant permission f�ir additional or rclatcd�vork�vhich requires separate <br /> pennits. All provisions ot'la�vs and ordinanccs govcrning this typc of work <br /> shall be compie vith�chether or not specif ied herein."I'his permit will <br /> cxpire and bcc i �null and void if constructiun authorizcd is not <br /> commenced�c� n I RO days of the date of issuancc,or i f construction is <br /> suspcndcd for a� criod of I�40 days at any timc altcr���ork has commcnccd. <br /> I�he applicant i. responsihl' for assuring aIl required inspections are <br /> roquc cd in co formance���th the State[3uildin��Code."I�his permit may be <br /> rcvo c at ai v t e f ae ause. <br /> �\ ' � � �\ � �-- / i / Ic i� <br /> npplic� t P m�tee S na ure Dat Is. d [3��Signature Date <br /> EPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />