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.-� <br /> CITY OF ORONO * z 0 1 4 — 0 0 5 4 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/12/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3655 NORTH SHORE DR <br /> PIN : 08-117-23-34-0050 <br /> LEGAL DESC : CRYSTAL BEACH <br /> ; LOT 000 BLOCK 000 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO- PRINCIPAL STRUCTURE <br /> (�c�-i v'�1 ��f 5 5�r�j le �- -l�-ow� <br /> NO"I'L': <br /> l. FOUNDATIONS/ALL DEMO DEBR[S TO BE REMOVED FROM GROUND& DISPOSGD OF OFF SI"l�E;,PER PCA REGULAT[ONS. <br /> 2. WELI,S MUS'T BE ABnNDONr D. <br /> 3. INSPECTIONS DONE BEFORE BACKI�ILLING. <br /> N07�E: A 24-48 H�UR NOTICE [S REQUIRF,D FOR ALL INSPL;C7�IONS. CALL(952)249-4600. <br /> SEWER MUS'I�E3E D[SCONTINUED AT"i'HE CITY SERV[CF,[3Y QUALIFIED CON'I'RACTOR I3EFORE DEMO PERMIT[S [SSUED. CIiECK <br /> 1'O MAKG SURI;'1'HIS YF,RMIT HAS QEEN PULLED BEFORE ISSUINU THIS PERMI'I'. <br /> APPLICANT DEMOLITION - PRINCIPAL STRUCTURE 75.00 <br /> STATE SURCHARGE DEMO 5.00 <br /> HAGEN, AL& DONNA TOTAL 80.00 <br /> 3655 NORTH SHORE DR <br /> WAYZATA, MN 55391- Payment(s) <br /> CHECK 5010 80.00 <br /> OWNER <br /> HAGEN,AL& DONNA <br /> 3655 NORTH SHORE DR <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 specitications,applicable City approvals,and the <br /> State Building Code. This pennit is for only the work dcscribcd 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 specitied 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 T3uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> � ���� � ,� � , <br /> __,�-�" � .� �� � t i � <br /> Applicant Permitee Sign ture Date [ssued By gnature Date <br />