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- CITY OF ORONO * Z 0 1 6 - 0 0 1 9 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/2U2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4220 CHIPPEWA LA <br /> PIN : 31-118-23-42-0012 <br /> LEGAL DESC : CHIPPEWA 2ND ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE <br /> ACTIVITY : 649-ALL OTHER BUILDING&STRUCTURES <br /> NOTE: (SAC PD#3478 03/23/77) <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 /> NOTE: A 24-48 HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS. CALL(952)249-4600. <br /> APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00 <br /> STATE SURCHARGE DEMO 1.00 <br /> M&M HOME CONTRACTORS TOTAL 76.00 <br /> 205 WINKLER TRL Payment(s) <br /> PO BOX 90 CREDIT CARD 9701 76.00 <br /> COLOGNE,MN 55322- <br /> (612)797-3720 <br /> Minnesota State License#: BUIL-BC560376 <br /> OWNER <br /> DBG,LLC <br /> SCHRODER, SUSAN <br /> 4725 WEST LANE <br /> MINNETRISTA,MN 55364- <br /> AGREEMENT AIVD 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 l80 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 /> --`�.e/� _^ � / <br /> f --- �� 2 I �(,o � �? �� �"� ��L �. � `�I � /�' <br /> Applicant Permitee Sign e Date Issued By Signature Date <br />