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CITY OF ORONO * z 0 1 7 - 0 0 2 0 6 * <br /> . 2750 KELLEY PARKWAY DATE ISSUED: 03/24/2017 <br /> ` ORONO, MN 55356- <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1515 GREEN TREES RD <br /> PIIY : 11-117-23-23-0013 <br /> LEGAL DESC : GREEN TREES ON TANAGER LAKE <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : DEMOLITION <br /> f+�=']���� �( y . �r�j� � 16��Ji� �� c1:�. ,� /i_ � <br /> PROPERTY TYPE : RESID�NTIAL J <br /> CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE <br /> NOTE: (SEPTIC AREA) <br /> 1. FOUNDATIONS/ALL DEMO DEBR[S TO BE REMOVED FROM GROUND&DISPOSED OF OFF S[TE,PER PCA REGULATIONS. <br /> 2. WELLS MUST BE ABANDONED. <br /> 3. INSPECTIONS DONE BEFORE BACKFILLING. <br /> NOTE: A 24-48 HOUR NOT[CE IS REQUIRED FOR ALL INSPECTIONS. CALL(952)249-4600. <br /> SEWER MUST BE D[SCONTINUED AT THE CITY SERV[CE BY QUALIF[ED CONTRACTOR BEFORE DEMO PERMIT IS ISSUED. CHECK <br /> TO MAKE SURE TH[S PERMIT HAS BEEN PULLED BEFORE ISSUING THIS PERMIT. <br /> APPLICANT DEMOLIT[ON-PRINCIPAL STRUCTURE 75.00 <br /> STATE SURCHARGE DEMO 1.00 <br /> CHARLES CUDD LLC TOTAL 76.00 <br /> 15050 23RD AVENUE N <br /> PLYMOUTH, MN 55447- Payment(s) <br /> �� CHECK 5605 76.00 <br /> Minnesota State License#: BUIL-BC6352�15 <br /> OWNER <br /> BURWELL TRUST, BARBARA <br /> 1 100 MILLSTON ROAD <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 Ciry 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 speci6ed herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 days of the date of issuance,or if construction is <br /> suspended for a period of l80 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 time fo�due cause. /��� <br /> r 7 F_— /G�,7 <br /> � <br /> �� ���, 3��-`+���`7 j� u c��..c-1 ���.�--����,. `,� � ;� ��� �-� <br /> Ap, icant Permitee Signature Date Issued By Signature Date <br />