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�' � CITY OF ORONO �� <br /> * 2 PJ 1 2 — 0 0 1 s 1 * <br /> 2750 KELLEY PARKWAY ppTE �SSUEn: 04/03/2012 <br /> ORONO, MN 55356- <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 5 BLOCK 2 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPA[R <br /> ACTI V ITY : 434-RESIDENTIAL <br /> VALUATION : $ 11,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> OUTDOOR FIREPLACE/PIZZA OVEN <br /> ��� � �� <br /> * AS-BUILT SURVEY IS REQUIRED PR[OR TO RELEASE OF ESCROW. �'"� (INITIAL) �� �`� � <br /> * EROSION CONTROL TO BE INSTALLED AND SI IOULD REMAIN UNTIL VEGETAT[ON ESTABLISHED.�� (I ITIAL) <br /> � <br /> �, ���� <br /> � <br /> -� ���� �� C�� � <br /> �U ��� - <br /> � � � � � �� �� <br /> C� � � <br /> APPLICANT PERMIT FEE SCHEDULE 206.50 <br /> LUKE BUSKE� <br /> 1903 PRIMROSE PLACE PLAN REVIEW 134.23 <br /> HUDSON, WI 54016- STATE SURCHARGE(VALUATION) 5.50 <br /> (612)490-1037 TOTAL 346.23 <br /> OWNER <br /> RUDOW, DAV[D& LESLIE <br /> 3380 GRAHAM HILL RD <br /> ORONO, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according ro <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work describcd and does <br /> not grant permission for additional or related work which requires scparate <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 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 Building Code.This permit may be <br /> revoked at�any time for-dU�'ca�se. <br /> , .. , <br /> --,�� ����-- `� i 3 i �"L <br /> i i <br /> Applicant Permi ee Signature Date Issued By gnature Date <br /> SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED AB E. <br />