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• ' CITY OF ORONO PERMIT NO.: 2010-00218 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 04/19/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3530 NORTH SHORE DR <br /> PIN : 08-117-23-43-0010 <br /> LEGAL DESC : BALDUR PARK <br /> : LOT 004 BLOCK 002 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> COI�TSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE <br /> Ce�,�.+o �•od� by5 <br /> NOTE: <br /> 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULA"CIONS. <br /> 2. WELLS MUST BE ABANDONED. <br /> 3. INSPECTIONS DONE BEFORE BACKFILLING. <br /> ESCROW PAYMENT$2500 PD ON 4/13/10 2010-00219 <br /> APPLICANT DEMOLIT[ON -PRINCIPAL STRUCTURE 75.00 <br /> DAVE'S EXCAVATING INC. STATE SURCHARGE DEMO 0.50 <br /> 16110 HALSEY AVENUE <br /> CARVER,MN 55315- DEMOLITION-ACCESSORY STRUCTURE 50.00 <br /> (952)448-3642 TOTAL 125.50 <br /> Minnesota State License#: 075981 RP <br /> OWNER <br /> ACKERMANN,ALBERT <br /> 3530 NORTH SHORE DR <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEME1vT <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 governing this type of work <br /> shall be compied with whe[her 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 requiced inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at ar4y time for due cause. <br /> l l-ZO/� �� � �� <br /> Applic rmitee Signature Date Is By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />