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CITY OF ORONO * Z 0 1 4 - 0 1 3 4 9 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: OS/31/2016 <br /> , ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3438 LYRIC AVE <br /> PIN : 17-117-23-43-0077 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 023 BLOCK 005 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> C01�ISTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE <br /> ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT&DET <br /> NOTE: (SAC GRANDFATHERED IN H/U#3366 ]0/24/72&HOME PRIOR) <br /> 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROLIND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. <br /> 2. WELLS MUST BE ABANDONED. <br /> 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 C[TY 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#3366 10/24/1972 <br /> APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00 <br /> STATE SURCHARGE DEMO 5.00 <br /> TMS COMPANIES TOTAL 80.00 <br /> 5990 MEADOWLARK LN Payment(s) <br /> PRIOR LAKE,MN 55372- CREDIT CARD 8355 80.00 <br /> (612)414-5700 <br /> OWNER <br /> Landsource LLC <br /> KOHOUT,JAMISON <br /> 550 25TH AVE N <br /> ST CLOUD, MN 56303- <br /> AGREEMENT AIYD 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 does <br /> not grant permission for additional or related work which requires separate <br /> permits. 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 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 afrer 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 du ause. _ �� ��ti <br /> � _� - f. <br /> � <br /> S // /!o � l j � � � .�'lt�,`>�� > / �{ / ��', <br /> Applica ermi ee Signature Date Issued By Sign re Date <br />