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, CITY OF ORONO PERMIT NO.: 2009-00377 <br /> 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE ISSUED: 07/06/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4495 BAYSIDE RD <br /> PIN : 06-117-23-21-0004 <br /> LEGAL DESC : UNPLATTED 06 117 23 <br /> : LOT 000 BLOCK 000 <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 /> l. 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 PRINCIPAL STRUCTURE AND ACCESSORY STRUCTURE GARAGE-CONTROL BURN BY LONG LAKE FIRE DEPARTMENT <br /> NO ACTION REQUIRED ON EXISTING SEPTIC SYSTEM-PER LO&WG <br /> APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00 <br /> VEIT COMPANIES STATE SURCHARGE DEMO 0.50 <br /> 1400 VEIT PLACE <br /> ROGERS, MN 55374- DEMOLITION-ACCESSORY STRUCTURE 50.00 <br /> TOTAL 125.50 <br /> OWNER <br /> KELLEY,G&B <br /> 4495 BAYSIDE RD <br /> MAPLE PLAIN, MN 55359- <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 /> reques[ed in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �/' //' ������''"--�` <br /> �( / /—G/.-' a��>;' <br /> /� � / / <br /> Applicant ermitee Signature%� Date <br /> Issued By i nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRTBED A O E. <br />