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CITY OF ORONO * Z 0 1 6 - 0 0 4 6 9 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: OS/12/2016 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2024 SHADYWOOD RD <br /> PIN : 17-117-23-31-0011 <br /> LEGAL DESC : GUST S JOHNSONS ADDN <br /> : LOT 004 BLOCK 000 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOI�T TYPE : DEMO-ACCESSORY STRUCTURE <br /> ACTIVITY : 649-ALL OTHER BUILDING&STRUCTURES <br /> NOTE: <br /> 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFP SITE,PER PCA REGULATIONS. <br /> 2. INSPECTIONS DONE BEFORE BACKFILLING. <br /> DEMO DETACHED GARAGE <br /> APPLICANT DEMOLITION-ACCESSORY STRUCTURE 50.00 <br /> STATE SURCHARGE DEMO 1.00 <br /> DANBERRY BLDG CORP. TOTAL 51.00 <br /> 5413 MANITOU RD Payment(s) <br /> TONKA BAY,MN CHECK 8386 51.00 <br /> (952)474-5990 <br /> Minnesota State License#: BUIL-BC6389415 <br /> OWNER <br /> KIEFFER,JOHN&BENJAMIN <br /> 2024 SHADYWOOD RD <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 are <br /> requested in conformance with the State Building Code.This permit may be /'',^ <br /> revoked at any time for due cause. -1 ` �V J <br /> / -/ <br /> � �� G?� 7 �� � � l�i � <br /> Applicant Permitee Signature Date Issued By Signature Date <br />