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CITY OF ORONO * z 0 1 5 — 0 0 4 z B * <br /> . . 2750 KELLEY PARKWAY DATE ISSUED: 06/22/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 405 NORTH ARM DR <br /> P1N : 06-117-23-32-0003 <br /> LEGAL DESC : UNPLATTED 06 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERM[T TYPE : DEMOLITION <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE <br /> NOTE: 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF S[TE,PER PCA <br /> REGULATIONS. <br /> 2. WELLS MUST BE ABANDONED. 3. INSPECTIONS DONE BEFORE BACKFILLING. <br /> NOTE: A 24-48 HOUR NOT[CE IS REQUIRED FOR ALL INSPECTIONS. CALL(952)249-4600. <br /> SEWER MUST BE DISCONTINUED AT THE CITY SERVICE BY QUALIFIF,D CONTRACTOR BEFORE DEMO PERMIT IS ISSUED. CHECK <br /> TO MAKE SUR�THIS PERMIT HAS BEEN PULLED BEFORE ISSUING TE[IS PERMIT. <br /> NOTE: DEMOLITION CONTRACTOR SHALL INSPECT STAKED SEPTCI S[TES WITH PROPERTY OWNER PR[OR TO EQUIPME ' <br /> N��vt r�6 D�J � s c� �TU E�SUR� 1•�0 �tsTV izQ�l.�C� 0� S�-#'Tt 'c �q-S ��. <br /> APPLICANT DEMOLITION- PRINCIPAL STRUCTURE 75.00 <br /> STATE SURCHARGE DEMO 5.00 <br /> NYEN COMPANIES LLC DEMOLITION -ACCESSORY STRUCTURE 100.00 <br /> 3480 COLINTY RD 21 <br /> MAYER, MN 55360- TOTAL 180.00 <br /> (952)955-2955 Payment(s) <br /> CHECK 4121 180.00 <br /> OWNER <br /> Source Land Capital <br /> 18215 45TH AVE N, STE D <br /> PLYMOUTH, MN 55446- <br /> AGREEMENT AND SWORN STATEMEIYT <br /> The work for which this permit is issued shall be performed according to <br /> [he 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 sepazate <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 /> revoked at y time for due cause. - <br /> r...------ <br /> - ��� - �� / � <br /> � i nt Permitee Signature Date ssue By nature Date <br />