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CITY OF ORONO PERMIT NO.: 2011-00743 <br /> � � � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE IssUED: 07/27/2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 315 HOLLANDER RD <br /> PIN : 25-118-23-43-0014 <br /> LEGAL DESC : HOLLY ACRES <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO-ACCESSORY STRUCTURE <br /> ACTIVITY : 649-ALL OTHER BUILDING&STRUCTURES <br /> NOTE: <br /> l. FOUNDATIONS/ALL DEMO DEBRIS"I'O 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 /> LODAHL INC. STATE SURCHARGE DEMO 0.50 <br /> 667 WARNER AVE S <br /> MAHTOMEDI, MN 55115 TOTAL 50.50 <br /> (651)470-9946 PAID WITH CC# 2748 <br /> Minnesota State License#: BC 2043408 <br /> OWNER <br /> FAGRE,NATHAN &CONSTANCE <br /> 315 HOLLANDER 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 permi[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 consYruction 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 an t e fo due cause. <br /> ��/,(,� . � /aC 7 /� 7� � /' �� <br /> li ant Perm tee Signature Date Iss e y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />