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PERMIT <br /> CITY OF ORONO Permit Number: <br /> 2750 Kelley Parkway- PO Box 66 P05728 <br /> Crystal Bay, Minnesota 55323 Permit Type: Demolition <br /> (952) 249-4600 Date Issued: 10/21/2002 <br /> SITE ADDRESS: 1530 Orchard Beach P1 <br /> Mound,MN 55364 <br /> PID: 07-117-23-43-0003 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Construction Type VN <br /> Proposed Use: Residential <br /> Permit Class: Building Census Code 645 <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 /> A_ A _—_[�a.___�__._ /!1___.__..r 1___1 T___11..__ <br /> : � ___... ....� <br /> Foundations/all demo debris io be removed from ground&disposed of off sue per PCA regulations. Wells <br /> mist be abondoned. Inspection before backfilling. <br /> FEE SUMMARY: Permit Fee: $ 80.00 <br /> Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 80.50 <br /> APPLICANT: Semple Excavation&Trucking Inc. OWNER: L A Donnay <br /> 91 Ridder Cir 9708-63rd Ave N <br /> St.Paul,MN 55107 Maple Grove,MN 55369 <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 /> )Chk()CiL—E--)\P -CCU - <br /> (6/XL- ) <br /> APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE <br /> Copies: 1-File(Si&nitures Required), 1-Applicant, 1-Monthly Reports, 1-AssessinE, 1-Finance Page 1 <br />