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PFRMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> 0 <br /> 2750 Kelley Parkway • P.O. Box 815 t 1t� <br /> Permit Number. i t;555 I N55: <br /> Orono, Minnesota 55356-0815 Date Issued: <br /> (612) 473-7357 <br /> SITE ADDRESS: <br /> 745 ORCHARD PK RD <br /> LSV <br /> P . I .N. : 31-118-23-11-0003 <br /> DESCRIPTION: <br /> DEMO PRINCIPAL & ACC <br /> Building Permit Type DEMO/PRINCIPAL <br /> E:ui ldina Work Type DEMO-PRINCIPAL <br /> REMARKS: <br /> FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND & DISPOSED OF OFF <br /> SITE PER PCA REGULATIONS . WELLS MUST BE ABANDONED. INSPECTION BEFORE BACKFILL. <br /> FEE SUMMARY: <br /> Base Fee $80 .00 <br /> Surcharge rash <br /> Total Fee $80. 50 <br /> CONTRACTOR: O ER- — Applicant — <br /> N LARRY <br /> 745 ORCHARD PK RD <br /> ORONO MN 55356 <br /> (612)47'2-6262 <br /> $ - T` r . La . . }. <br /> THE I BY HER QTS TERMS N . TO f `HE REAL. IirROVEMENTS <br /> SPECIFIED AND aAG E> ThiLL KT I 'TRIC COMPLIANCE='WITS .L CITY'OF <br /> N' O DII ANCE � STAT'i.', STA tILialNS' CODE RE I NTS. <br /> 4,6 CIA)) <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />