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PERMIT <br /> CITY OF ORONO Permit Number: <br /> 2750 Kelley Parkway- PO Box 66 P05926 <br /> Crystal Bay, Minnesota 55323 Permit Type: Demolition <br /> (952) 249-4600 Date Issued: 12/27/2002 <br /> SITE ADDRESS: 4515 North Shore Dr <br /> Mound,MN 55364 <br /> PID: 07-117-23-31-0006 <br /> DESCRIPTION: UBC occupancy R3 <br /> Proposed Use: Residential <br /> Permit Class: Building Census Code 645 <br /> Permit Type: Demolition Permit Sub-type(s): Demo-Principal Structure <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> Foundaiionsiaii demo debris io be removed from ground&disposed of off siie per PCA reguiadons. Wells <br /> m ist be abondoned. Inspection before backfilline. <br /> FEE SUMMARY: Permit Fee: $ 80.00 <br /> Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 80.50 <br /> APPLICANT: Stonewood Design Build OWNER: Henry Rigelhof <br /> 4420 Shoreline Dr. 20 Jewel Lane <br /> Spring Park,MN 55384 Plymouth MN 55364 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> Y-,9--� d,r'7 <br /> APPLIC T PE rFEE SIGNA S D BY SIGNATURE 4 <br /> Conies: 1-File Minitures Reauired),1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1 <br />