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CITY OF ORONO * Z 0 1 5 - 0 1 3 8 6 * <br /> ` 2750 KELLEY PARKWAY DATE ISSUED: 10/30/2015 <br /> � ORONO, MN 55356- <br /> 952 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3683 NORTH SHORE DR <br /> PIN : 08-117-23-34-0053 <br /> LEGAL DESC : CRYSTAL BEACH <br /> : LOT 005 BLOCK 000 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> COI�ISTRUCTION TYPE : DEMO-ACCESSORY STRUCTURE <br /> �{� 't<����-� t,,�1�f <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 /> APPLICANT NEEDS TO SHOW EROSION CONTROL LOCATION ON SURVEY. INIT[AL: � <br /> APPLICANT DEMOLITION-ACCESSORY STRUCTURE 50.00 <br /> STATE SURCHARGE DEMO 1.00 <br /> HOMES BY LEGACY TOTAL 51.00 <br /> 6145 LAKE VIRGINIA DR Payment(s) <br /> P O BOX 245 CHECK 5336 51.00 <br /> EXCELSIOR,MN 55331- <br /> (612)270-6214 <br /> Minnesota State License#: BUIL-BC667652 <br /> OWNER <br /> RESSLER,JON <br /> 3683 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 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 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 a y time for due cause. ��,!> <br /> i ;�/� <br /> �� � 7 � �� ;�"�� �� I �� , �,r s <br /> ermitee Signature ate Issued By Signature Date <br />