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CITY OF ORONO PERMIT NO.: 2009-00411 <br /> �' • 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE IssUEn: 07/15/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3443 CRYSTAL PL <br /> PIN : 17-117-23-43-0005 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 002 BLOCK 002 <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 /> DEMO OF PRINCIPAL STRUCTURE AND ACCESORY BUILDING. <br /> APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00 <br /> WESLEY BERDICKSON <br /> 6705 HIGHWAY 12 STATE SURCHARGE DEMO 0.50 <br /> MAPLE PLAIN, MN DEMOLITtON-ACCESSORY STRUCTURE 50.00 <br /> (763)479-1107 TOTAL 125.50 <br /> PAID WITH CASH 125.50 <br /> OWNER <br /> HAGEDORN, THOMAS <br /> 3443 CRYSTAL PL <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> no[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 all required inspections are <br /> requ sted in on ance with the St uilding Code.This permit may be <br /> rev at y ime cause. <br /> �� � / / <br /> ic n e D e Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />