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CITY OF ORONO * Z 0 1 3 - 0 0 0 2 5 * <br /> ' � +' �` '` 2750 KELLEY PARKWAY DATE ISSUED: OU1U2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4156 HIGHWOOD RD <br /> PIN : 07-117-23-44-0019 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 023 BLOCK 000 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO- PRINCIPAL STRUCTURE <br /> NOTG: <br /> l. FOUNDATIONS/ALL DEMO DEBRIS TO BG REMOVF.D FROM GROG\D&D[SPOSGD OF OH'F SI"CE, PGR PCA RGGULATIONS. <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(9�2)2d9-4600. <br /> SEWER MUST BE DISCONTINUED AT THE CITY SERVICE BY QUALIFIED CONTRACTOR BEFORL:DEMO PI?RM[T IS ISSUED. <br /> CHECK TO MAKE SURE T[IIS PERMIT HAS BEEN PULLF.D BEFORG ISSU[NG Tk IIS PF,RMIT. <br /> APPLICANT DEMOLITION - PRINCIPAL STRUCTURE 75.00 <br /> DENALI CUSTOM HOMES STATE SURCHARGE DEMO 5.00 <br /> 18352 MINNETONKA BLVD. <br /> DEEPHAVEN, MN 55391- TOTAL 80.00 <br /> (952)476-2679 <br /> Minnesota State License#:20175394 <br /> OWNER <br /> MUSGJERD, SCOTT& MELISSA <br /> 4156 HIGHWOOD RD <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issucd shall be periormed according to <br /> the approved plans and specifications,applicable City approvals,and thc <br /> State E3uilding Code. This permit is for only the work describcd and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances govcrning 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 /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / // / /_3 <br /> Applicant Permitee Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />