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.+ <br /> CITY OF ORONO * z 0 1 3 - 0 1 PJ 4 4 * <br /> 2750 KELLEY PARKWAY pATE ISSUED: 10/15/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2248 SHADYWOOD RD <br /> PIN : 17-117-23-43-0126 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO-ACCESSORY STRUCTURE <br /> ACTIVITY : 649-ALL OTHER BUILDING& STRUCTURES <br /> NO'CE: <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 DEMOLITION-ACCESSORY STRUCTURE 50.00 <br /> PAUL SORENSON CONSTRUCTION STATE SURCHARGE DEMO 5.00 <br /> 525 COUNTY ROAD 92 TOTAL 55.00 <br /> MAPLE PLA1N, MN 55359- <br /> (612) 868-5138 <br /> OWNER <br /> LAGERSTROM, ED <br /> 2248 SHADYWOOD RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work tbr which this permit is issued shall be performed according to <br /> the approved plans and speciYications,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 ordinanees governing 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 1 AO 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 c se. <br /> � , C/ Lc� / l� , ,L�GL /L�l l /.3 <br /> Applicant Permitee Sign ture Date �"Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />