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CITY OF ORONO PERMIT NO.: 2009-00384 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 07/07/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 4655 TONKAVIEW LA <br /> PIN : 07-117-23-32-0064 <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 /> ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT&DET <br /> NOTE: <br /> 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. <br /> 2. WELLS MUST BE ABANDONED. <br /> 3. INSPECTIONS DONE BEFORE BACKFILLING. <br /> DEMO PRINCIPAL STRUCTURE AND ACCESSORY STRUCTURE(GARAGE) <br /> APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00 <br /> FARR CONSTRUCTION STATE SURCHARGE DEMO 0.50 <br /> 5888 45TH ST. SE <br /> P.O.BOX 277 DEMOLITION-ACCESSORY STRUCTURE 50.00 <br /> DELANO,MN 55328 TOTAL 125.50 <br /> (763)972-2220 PAID WITH CC# 9875 <br /> Minnesota State License#: 7188 <br /> OWNER <br /> MEYER,DENNIS <br /> 4680 NORTH SHORE DRIVE <br /> MOUND,MN 55364 <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 timeforforr due cause. <br /> �N phplu <br /> Applican"etmitee Signature Date Issued By Si ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AWDVE. <br />