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. CITY OF ORONO PERMIT NO.: 2009-00162 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 05/04/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4060 DAHL RD <br /> PIN : 07-117-23-11-0020 <br /> LEGAL DESC : PIRATES COVE <br /> : LOT 016 BLOCK 001 <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. FOUNDA'I'IONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. <br /> 2. WELLS MUST BE A6ANDONED. <br /> 3. INSPECTIONS DONE I3EFORE BACKFILL[NG. <br /> SAC PAID#1280-06/13/1975 <br /> SEWGR WILL BE DISCONNECTED BY LECY BROS-MARK LECY 952-944-9499 <br /> APPLICANT <br /> DEMOLITION- PRINCIPAL STRUCTURE 75.00 <br /> VE[T COMPANIES STATE SURCHARGE DEMO 0.50 <br /> 1400 VE[T PLACE <br /> ROGERS, MN 55374- MISC FEE 0.00 <br /> TOTAL 75.50 <br /> OWNER <br /> NEVE, MR&MRS.JAMES <br /> 4060 DAHL RD <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performcd according[o <br /> the approved plans and specifications,appiicable 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 /> "l�he applicant is responsible for assuring all required inspections are <br /> requested in conformance with the S[ate Building Code.This permit may be <br /> re oked t any time for due cause. <br /> D'�,,,.� I�l'�c�v,.�-� .S i o y i c'� �i D i !� <br /> Ap licant Permitee Signature Date Issu d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />