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CITY OF ORONO PERMIT NO.: 2010-00831 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE Iss[1ED: 09/15/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3382 BAYSIDE RD <br /> PIN : OS-117-23-]4-0035 <br /> LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK <br /> : LOT 009 BLOCK 005 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE <br /> ACTIVITY : 645-SINGLE FAMILY 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 /> APPLICANT DEMOLITION - PRINCIPAL STRUCTURE 75.00 <br /> CHARLES CUDD LLC STATE SURCHARGE DEMO 5.00 <br /> 15050 23RD AVENUE N <br /> PLYMOUTH, MN 55447- TOTAL 80.00 <br /> �) <br /> Minnesota State License#: 20635245 <br /> OWNER <br /> HUTHWAITE, MICHAEL&MARILYN <br /> 7715 AINSWORTH DR <br /> GERMANTOWN, TN 38138- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his 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 Sta[e Building Code.This permit may be <br /> revoked at any time f due cause. <br /> /(d /� �l /.Sl /D <br /> App icant Permit ignature Date Issu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />