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` � CITY OF ORONO * 2 0 1 5 - 0 1 5 1 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: Ol/05/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2845 LITTLE ORCHARD WAY <br /> PIN : 09-117-23-21-0011 <br /> LEGAL DESC : LITTLE ORCHARD <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO-ACCESSORY STRUCTURE <br /> ACTIVITY : 649-ALL OTHER BUILDING&STRUCTURES <br /> NOTE: <br /> 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. <br /> 2. INSPECTIONS DONE BEFORE BACKFILLING. <br /> DEMO OF POOL ONLY <br /> APPLICANT DEMOLITION-ACCESSORY STRUCTURE 50.00 <br /> STATE SURCHARGE DEMO 1.00 <br /> SAM'S LANDSCAPE INC TOTAL 51.00 <br /> P O BOX 848 Payment(s) <br /> WAYZATA,MN 55391- CREDIT CARD 2184 51.00 <br /> (612)366-9273 <br /> OWNER <br /> BERGERSON,SHAWN&ANNELIE <br /> 2845 LITTLE ORCHARD WAY <br /> WAYZATA,MN 55391- <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 Ciry approvals,and the <br /> State Building Code. 1'his 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 /> sha►I 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> -j'�� �� � /� �� /� <br /> A plicant Permite ture Date Is e y Signature Date <br />