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' � CITY OF ORONO PERMIT NO.: 2011-01284 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE �SSVEn: 10/24/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 315 HOLLANDER RD <br /> PIN : 25-118-23-43-0014 <br /> LEGAL DESC : HOLLY ACRES <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO-ACCESSORY STRUCTURE <br /> ACTIVITY : 649-ALL OTHER BUILDING & STRUCTURES <br /> NO"T'E: DEMO AND FILL IN SWIMMING POOL <br /> **CALL FOR INSPECTION W E OF THE CONCRE"I'E IS OUT BEFORE BACKFILL[NG. INSYECTOR WILL DECIDE WH�N TO <br /> COMG BACK AFTER THAT. (INI7'IAL) <br /> NOTE: <br /> 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. <br /> 2. INSPECTIONS DONE BEFORG BACKF[LLING. <br /> APPLICANT DEMOL[T10N -ACCESSORY STRUCTURE 50.00 <br /> KRUGER EXCAVATING STATE SURCHARGE DEMO 5.00 <br /> 7577 175TH ST E <br /> PRIOR LAKE, MN 55372- TOTAL 55.00 <br /> (952)447-8335 <br /> OWNER <br /> FAGRE,NATHAN&CONSTANCE <br /> 315 HOLLANDER RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> "I he work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. "I his permit is for only the work described and does <br /> no[grant permission for additional or related work which requires separate <br /> pennits. All provisions of laws and ordinances goveming 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 no[ <br /> commenced within 180 days of the date of issuance,or iPconstmction is <br /> suspended for a period of 180 da�s at a��me after work has commenced. <br /> appht�Tcant i a required inspections are <br /> re rman t e Code.This permit may be <br /> r c t any ' o use. <br /> �>/ �// /� /C� / Z / / <br /> pplicant Permitee Signature Date Issue Signature Date <br /> SEPARATE PERMIT REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />