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PERMIT <br /> CW -OF-OF ORONO <br /> 2t°JO Kelley Parkway- PO Box 66 Permit Number: P06495 <br /> Crystal Bay, Minnesota 55323 Permit Type: Demolition <br /> (952) 249-4600 Date Issued: 7/1/2003 <br /> SITE ADDRESS: 345 Willow Dr N <br /> Long Lake,MN 55356 <br /> PID: 33-118-23-41-0013 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> BuildingCensus Code 645 <br /> Permit Class: <br /> Permit Type: Demolition Permit Sub-type(s): Demo-Principal Structure <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> Foundations/all demo debris to be'unloved Ilona ground&disposed of o11 site per PCA regulations. Wells <br /> mist be abondoned. Inspection before backfilling. <br /> FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 50.50 <br /> APPLICANT: Doboszenski&Sons, Inc. OWNER: MN DOT/STATE OF MN <br /> 6450 Pioneer Trail Director R/W Operations <br /> Loretto,MN 55357 St. Paul,MN 55155 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> / <br /> APPLICANT P • ITEE SIGNATURE ISSUED BY SIGNATURE <br /> Conies: 1-File(Si&nitures Required). 1-Applicant. 1-Monthly Reports. 1-Assessing. 1-Finance Page 1 <br />