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MCES SAC-D <br />� Metropolitan Council LastUpdated:ll/]8/09 <br />Environmental Services <br />Service Availability Charge (SAC) <br />DEMOLITION DECLARATION REPORT <br />Local Government Unit Ciry of Roseville <br />Reporting Period (month or quarter) July Year 2010 <br />Attention: This form is for reporting all SAC-related demolitions to be placed on record as potential SAC credits. <br />� All demolitions must be reported within 30 days of the end of the calendar year in which the demolition occurred. <br />� Attach MCES SAC-C or Determination Letter for all commercial, institutional/governmental facilities in order to show how the <br />number of credits were calculated. <br />� Attach a Determination Letter for all industrial facilities permitted by MCES. <br />� Reduce the SAC Units of credit for apartments by 20% and public housing by 25% in order to adjust for previously reduced <br />charges. <br />� Affidavit of Vacancy (Form Affidavit-C) may be requested by MCES along with copy of sewer bill showing earliest absence of flow <br />based sewer fees. <br />Demolition Demolition Date of Type Number <br />Date Permit Number Vacancy Address Parcel ID Number of of SAC � <br />.� <br />07/06/2010 ' 2010-01724 ' 06/17/2010 ; <br />__ � _ _ __ j _ _ <br />i <br />Use* Units <br />1397 Ryan �/ 5� /�3.1 ��/"�i5�2 S 1 <br />- - _1_ _ __ __ _- <br />._. _� __ ___ .. ___ <br />"Type of Use: <br />S= Single Family Dwelling M= Multi-family Dwelling A= Apartment P= Public Housing <br />C= CommefCial (attach MCES SAC-C) IG = Institutional/GOVernmental (attach MCES SAC-C) I= Industrial (attach Determination Letter) <br />www.metrocouncil.org <br />390 Robert Street Noi�`�t. Paul, MN 55101-1805 •(651) 602-1378 • Fax (651) 60'��0 • TTY (651) 291-0904 <br />dn Lyuul Uppurntnir.r E�mplurc�r <br />