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� CITY OF ORONO <br /> * 20 16 - PJ 1027 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/OU2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3083 FARVIEW LA <br /> PIN : 04-117-23-33-0005 <br /> LEGAL DESC : FARVIEW <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCT[ON TYPE : DEMO-ACCESSORY STRUCTURE <br /> ACTIVITY : 649-ALL OTHER BUILDING&STRUCTURES <br /> NOTE: <br /> 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE, PER PCA REGULATIONS. <br /> 2. INSPECTIONS DONE BEFORE BACKFILLING. <br /> DEMO OF IN-GROUND POOL <br /> APPL[CANT DEMOLITION-ACCESSORY STRUCTURE 50.00 <br /> STATE SURCHARGE DEMO 1.00 <br /> L& R SUBURBAN LANDSCAPING INC TOTAL 51.00 <br /> 11421 W 4TH STREET <br /> MINNETONKA, MN 55343- Payment(s) <br /> CREDIT CARD 2971 51.00 <br /> OWNER <br /> FISCHER, SUSAN& BRENT <br /> 3083 FARVIEW LA <br /> LONG LAKE,MN 55356- <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 /> shali be compied with whether or not specified herein.This permit will <br /> expire and become nuli 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 afrer 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 /> C V�.�` l.f �V Dv � l l l I� <br /> Applicant Permitee Si ature Date Issu d y Signature Date <br />