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� � <br /> CITY OF ORONO * z 0 1 3 - 0 0 2 0 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/26/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2765 SHADYWOOD RD <br /> PIN : 21-117-23-24-0060 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0415 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO-ACCESSORY STRUCTURE <br /> NOTE: <br /> DEMO OF ATTACHED ROOM TO EXISTING HOUSE. <br /> APPLICANT DEMOLITION-ACCESSORY STRUCTURE 50.00 <br /> T BROWN HANDYMAN STATE SURCHARGE DEMO 5.00 <br /> 2712 WAGON WHEEL LANE <br /> � CHASKA,MN 55318- TOTAL 55.00 <br /> (952)303-9486 PAID WITH CASH 55.00 <br /> OWNER <br /> RANDGAARD,THOMAS <br /> 1730 KENWOOD PKWY <br /> MINNEAPOLIS,MN 55405- <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 permission for additional or related work which requires sepazate <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 /> 7'he applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revo any time for due cause. <br /> �ry---.-�-�- � 3- ��-�'3 � .�� � � <br /> Applicant Permitee Signature Date s e y S�gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE. <br />