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� <br /> CITY OF ORONO PERMIT NO.: 2008-00362 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 1U05/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1760 SHORELINE DR <br /> PIN : ]0-117-23-14-0017 <br /> LEGAL DESC : N/A <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE <br /> ' �;1.-� (��, �I"��1 I"�C;��k,3 � <br /> NOTE: <br /> 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISYOSED OF OFF SITE, PER PCA REGULATIONS. <br /> 2. INSPECTIONS DONE BEFORE BACKFILLING. <br /> APPLICANT DEMOLITION - PRINCIPAL STRUCTURE 50.00 <br /> STUBBS BUILDING& HOUSE MOVER STATE SURCHARGE DEMO 0.50 <br /> 185 OLD CRYSTAL BAY RD <br /> LONG LAKE, MN 55356 TOTAL 50.50 <br /> (952)473-8427 <br /> Minnesota State License#: 142159 <br /> OWNER <br /> WOODHOUSE, KIRT <br /> 885 FERNDALE RD W <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 aze <br /> requested in conformance wi[h the State Building Code.This permit may be <br /> revoked at y time for due cause. <br /> � � -�' � � / / <br /> Applicant Per tee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />