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- CITY OF ORONO PERMIT NO.: 2011-01299 <br /> � 2750 KELLEY PARKWAY <br /> , ORONO, MN 55356- DATE [SSUED: 10/2U2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDIZESS : 4099 HIGHWOOD RD <br /> PIN : 07-117-23-44-0012 <br /> LEGAL DESC : H[GHWOOD LAKE MTKA <br /> : LOT 014 BLOCK 000 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO-ACCESSORY STRUCTURE <br /> ACTIVITY : 649-ALL OTHER BUILDING& STRUCTURES <br /> NOTF,: <br /> l. FOUNDATIONS/ALL DEMO DGBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. <br /> 2. INSPGCT[ONS DONE B�FOR�BACKFILLING. <br /> DEMOLI��ION OF GARAGE <br /> �� <br /> AI Seran � <br /> GRACO <br /> Sc�n�or Enqrnee�r <br /> Cnnlrocto�Equipment Division <br /> GRACO MINNESOTA INC. <br /> David A Koch Center <br /> Phone:612 623 6902 20500 David Koch Ave <br /> Fax:612 378 3558 Rogers,Mn 55374 <br /> aseran@graco.com Graco Inc.&Subsidiaries <br /> MAILWG ADDRESS: P.O.Box 1441 �Minneapolis,MN 55440-1441 USA <br /> APPLICANT <br /> DEMOLITION -ACCESSORY STRUCTURE 50.00 <br /> BOLLIG & SONS, INC. STATE SURCHARGE DEMO 5.00 <br /> 1 1401 COUNTY ROAD 3 <br /> HOPKINS, MN TOTAL SS.OG <br /> (612)938-4433 <br /> OWNER <br /> SERAN ll[, ALONZO <br /> 4099 HIGHWOOD RD <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The�vork for��hich this permit is issucd 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 H�ith whether or not specified herein.This permit will <br /> expire and bccome 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 /> requested in conformance with the Sta[e Building Code.This permit may bc <br /> revoked tin e • e. <br /> � _. � '� / 2 / / I <br /> pplicant Per �itee nature Date ��� � � �� <br /> Is: d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />