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CITY OF ORONO * z 0 1 6 - 0 PJ 6 3 0 * <br /> , <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/16/2016 <br /> , ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3960 BAYSIDE RD <br /> PIN : OS-117-23-22-0015 <br /> LEGAL DESC : AUD[TOR'S SUBD.NO. 203 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> COI�TSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE <br /> ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT&DET <br /> NOTE: (SAC-NO NEED SEPTIC AREA) <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. INSPECT[ONS DONE BEFORE BACKFILLING. <br /> NOTE: A 24-48 HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS. CALL(952)249-4600. <br /> SEWER MUST BE DISCONTINUED AT THE CITY SERVICE BY QUALIFIED CONTRACTOR BEFORE DEMO PERMIT IS ISSUED. CHECK <br /> TO MAKE SURE THIS PERMIT HAS BEEN PULLED BEFORE ISSUING THIS PERMIT. <br /> APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00 <br /> STATE SURCHARGE DEMO 1.00 <br /> KOTHRADE SEWER& WATER <br /> 12059 WHITETAIL AVENUE TOTAL 76.00 <br /> HANOVER,MN 55341 Payment(s) <br /> �� CREDIT CARD 4122 76.00 <br /> Minnesota State License#:plbg-RP645681 <br /> OWNER <br /> LOVELESS, CHRISTOPHER&KATIE <br /> 3960 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 rcquires 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 f issuance,or if construction is <br /> suspended for a period of 180 days t a time atter work has commenced. <br /> The applicant is responsible for a ri all required inspections are <br /> requested in co ormance wi t Sta Building Code.This permit may be �� � <br /> revoked at a me for d e u . <br /> __ ....... <br /> �' � 1 �?.�.�-f� L � , I (r, / <br /> � _ �; .�. <br /> Applicant Permitee Signature Date Issued By Signatu Date <br />