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CITY OF ORONO * 2 0 1 4 - 0 1 2 3 1 * <br /> j ' 2750 KELLEY PARKWAY DATE ISSUED: 01/20/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4166 HIGHWOOD RD <br /> PIN : 07-117-23-44-0027 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 033 BLOCK 000 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE <br /> ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT&DET <br /> NOTE: <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 2448 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 /> SAC GRANDFATHERED IN FROM PERMIT#2497 0&07-1970 <br /> APPLICA1vT DEMOLITION-PRINCIPAL STRUCTURE 75.00 <br /> DEMOLITION-ACCESSORY STRUCTURE 50.00 <br /> CNC CONSTRUCTION,LLC STATE SURCHARGE DEMO 5.00 <br /> 4540 210TH LANE NE TOTAL 130.00 <br /> EAST BETHEL,MN 55011- <br /> (612)817-0386 Payment(s) <br /> Minnesota State License#: BUIL-BC580107 CREDIT CARD 0960 130.00 <br /> OWNER <br /> WILLOW CREEK,DEV <br /> P O BOX 4551 <br /> ST PAUL,MN 55104- <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 dces <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 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 /> r ed at any time fo due cause. <br /> 'LF) ) / ,e?o �/.5 <br /> Appli an t Signatu e Dat Issued B ignature Date <br />