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CITY OF ORONO H1 1 II111111111 II 111111 II <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/02/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4100 ELM ST <br /> PIN : 06-117-23-41-0060 <br /> LEGAL DESC : MINNETONKA SUMMIT PARK <br /> : LOT 000 BLOCK 007 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO-ACCESSORY STRUCTURE <br /> ACTIVITY : 649-ALL OTHER BUILDING&STRUCTURES <br /> NOTE: <br /> 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. <br /> 2. INSPECTIONS DONE BEFORE BACKFILLING. <br /> AFTER THE FACT POOL DEMOLITION <br /> APPLICANT DEMOLITION-ACCESSORY STRUCTURE 50.00 <br /> STATE SURCHARGE DEMO 5.00 <br /> CARROLL, MR&MRS THOMAS <br /> 4100 ELM ST TOTAL 55.00 <br /> LONG LAKE, MN 55356 Payment(s) <br /> CHECK 4441 55.00 <br /> OWNER <br /> CARROLL, MR& MRS THOMAS <br /> 4100 ELM ST <br /> LONG LAKE,MN 55356 <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 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 due cause. <br /> 11\ /2 //)/ <br /> \ -4---)* <br /> Appl ant Permitee ignature Date u; I BySignature Date <br /> � g <br />