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PERMIT <br /> • <br /> CITY OF ORONO PERMIT TYPE: <br /> n "•;i-. <br /> 2750 Kelley Parkway • P.O. Box 815 Permit Number: <br /> 006182 <br /> Orono, Minnesota 55356-0815 Date Issued: 06/2?,/94 <br /> (612) 473-7357 <br /> SITE ADDRESS: <br /> 3430 NORTH SHORE OR <br /> LSV <br /> I . N . : 0'8-117-23-42-000S <br /> DESCRIPTION: <br /> DEMO HOUSE & SHED <br /> Building Permit Type DEMO/PRINCIPAL <br /> Builrling Work Typt,. DEMO-PRINCIPAL <br /> CDT OF ORONO <br /> I N4NCE OFFICE <br /> 1S13.1c.0000Ii <br /> 01 &EN 80.00 <br /> 1222300000 <br /> L7LAT <br /> UCH, Ti <br /> U./ILL./1 IL. L.,:•ov <br /> RECEIP T—7 RAW YOU <br /> 7i171L7li rflii 1 Dili Ti I+N <br /> rr,-,v 1,1-01/1 •L <br /> ii <br /> vt.”4.,JI I- <br /> • <br /> REMARKS: <br /> FOUNnATIONS/AIL DEMO DEBRIS TO BF REMOVED FROM GROUND & DISPOSED OF OFF SITE <br /> PER PEGUIATTr_WS . WELLS MUST PE 4PANI:IONED. INSPECTlfiN PEFOR PAC!<FI'LING . <br /> FEE SUMMARY: <br /> BasP Fe .1= $80 . 00 <br /> $ <br /> 80 . 0 <br /> • <br /> CONTRACTOR: - Applicant - Si . LIC .CANNER:_fr <br /> KEITH WATERS & ASSIIC 19421060 150B .211ITHOtt;(722.4',2 <br /> 10340 VIKING DR 110 3430 NORTH SHORE DR <br /> EDEN PRAIRIE MN -,b344 OR= MN 5S391 <br /> (612) 942-1060 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS <br /> SPECIFIED AND AGREES TO 00 ALL WORK IN STRICT COMPLIANCE WITH AIL CITY OI <br /> t ORDINANCFs AND STATE UF MINNESOTA BUILDING CODE REWIREMENTS . <br /> 67alte,MAtlidAru,e , <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />