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CITY OF ORONO PERMIT NO.: 2010-00088 <br /> e 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 02/17/2010 <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 85 OLD CRYSTAL BAY RD S <br /> PIN : 04-117-23-21-0004 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.230 <br /> : LOT 009 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 /> APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00 <br /> MILLER, SCOTT&MICHELLE STATE SURCHARGE DEMO 0.50 <br /> 85 OLD CRYSTAL BAY RDS TOTAL 75.50 <br /> LONG LAKE,MN 55356 <br /> PAID WITH CC# 7460 <br /> OWNER <br /> MILLER, SCOTT&MICHELLE <br /> 85 OLD CRYSTAL BAY RD S <br /> LONG LAKE,MN 55356 <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 wbrk has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with thi.State Building Code.This permit may be <br /> revo ed at• time for due ause. <br /> , � 17 //O <br /> App scan a e�gnature Date /. `-� // / as/6 <br /> Iss.eSignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK 0 HER THAN DESCRIBED ABOVE. <br />