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� CITY OF ORONO PERMIT NO.: 2010-00070 <br /> • 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 02/19/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2655 SHADYWOOD RD <br /> PIN : 21-117-23-23-0023 <br /> LEGAL DESC : PHEASANT LAWN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE <br /> ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT&DET <br /> NOTE: <br /> 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. <br /> 2. WELLS MUST BE ABANDONED. <br /> 3. INSPECTIONS DONE BEFORE BACKFILLING. <br /> APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00 <br /> VEIT COMPANIES STATE SURCHARGE DEMO 0.50 <br /> 1400 VEIT PLACE TOTAL 75.50 <br /> ROGERS,MN 55374 <br /> OWNER <br /> HADDEN,JULIE&TIM <br /> 2655 SHADYWOOD RD <br /> EXCELSIOR,MN 55331- <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 sepazate <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 wil( <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 /> requ ted in conformance ith the State Building Code.This permit may be <br /> re at an time f r d cause. <br /> � / '� / �V / �/ /�V <br /> App cant ermite Si ature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />