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' � CITY OF ORONO PERMIT NO.: 2009-00736 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssoED: 10/22/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1195 STARKEY RD <br /> PIN : 29-118-23-31-0002 <br /> LEGAL DESC : MINNETONKA GARDEN ACRES <br /> : LOT 001 BLOCK 000 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE <br /> ACTIVITY : 645-SINGLE FAM[LY HOUSES(ATT& DET <br /> NOTE: <br /> 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. <br /> 2. WELLS MUST BE ABANDONED. <br /> 3. INSPECTIONS DONE BEFORE BACKFILLING. <br /> DEMO PRtNCIPAL STRUCTURE,GARAGE&SHED <br /> APPLICANT DEMOLITION - PRINCIPAL STRUCTURE 75.00 <br /> VE[T COMPANIES STATE SURCHARGE DEMO 0.50 <br /> 1400 VEIT PLACE <br /> ROGERS, MN 55374- MISC FEE 0.00 <br /> DEMOLITION-ACCESSORY STRUCTURE 100.00 <br /> TOTAL 175.50 <br /> OWNER <br /> Three Rivers Park District <br /> THREE RIVERS PARK DISTRICT <br /> 3000 XENIUM LANE N <br /> PLYMOUTH, MN 55441- <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 separate <br /> permits. All provisions of laws and ordinances goveming 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 aIl required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> r v ,ed at any ti/r�e for due cause. <br /> �1,� ^(, <br /> �. �` � ��, � �i�/ ��/ , / / <br /> Applicant P��rmitee Sig`atu Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />