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� City of Orono F R c USE ONLY ,` <br /> �0� P.O.Box 66 Date Received:������� Permit# ��/7' � <br /> � 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Amount: $ SAC Credit: <br /> (952)249-4600 <br /> '� ,� Homeowner(s)Signed: ❑Yes <br /> ti�n ` <br /> �, Resolutions(if any)Signed:0 Yes ❑None Required <br /> ��ESH��� Zonin Disclosure Si ed: ❑Yes ❑None Re uired <br /> �:'SU'GW Yti.t.`�' �l�''1.0 <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (All permits must be approved by the Building Official and/or Zoning Department) <br /> J� ` ��#e-���vner�nf�rma��on: <br /> Type: �(Residential ❑ Commercial <br /> Site Address: �.3 � �; �o•�� G�� � '� <br /> Owner: �'�`i I�c��� Mailing Address: �.,e <br /> c�ty: �rvr,� z�p: ss��y <br /> Phone: Gs� - a / 5! 3`�Gy Email: �r_✓�'� � .�,"��. CoY`'� <br /> �or� _ Gtor/Applicar�#�nfocrnatio . <br /> . _ _ . <br /> Contractor/App.: 57"e� ���S Contact Person: -�`"� <br /> Address: .� �! 5s I�'��v.�h� ''�U'� State License#: <br /> City: ���''�� Zip: SS.��� Expiration Date: <br /> Phone: 6�a " y/ �' �� �� Email: <br /> :S���i'l:,�C�����'�5;���:�`� "�`��,,_ � � . �I�iil� '. '; ; , <br /> General Instructions: <br /> 1. You may be required to obtain other permits, i.e.: well abandonment, sewer, etc. <br /> 2. Work must not begin unless the permit card is available on the job site. <br /> 3. A 24-48 hour notice is required for all inspections. Call (952) 249-4600. <br /> 4. Sewer must be discontinued at the City service by qualified contractor before demo permit is <br /> issued. <br /> Demolition by means of: ❑ Manual Disassembly �Heavy Equipment ❑ Other <br /> Permit(s) Issued: � Sewer Disconnection ❑Well Abandonment# <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees to: <br /> 1. Submit a survey, aerial photo or sketch showing all structures on the property. Note which <br /> structures are to be demolished. <br /> 2. Submit a survey, aerial phdto or sketch showing proposed erosion control measures in <br /> accordance with Chapter 79, Construction Site Runoff Control. <br /> 3. Submit a copy of permit approval from the Minnehaha Creek Watershed District (MCWD). The <br /> City will not issue a demoliti'on permit without a copy of the permit(s) from the MCWD or <br /> documentation stating permit(�) are not required. I�r � ��r _ �� `./� <br /> � �0(� w � 5��� <br /> �li V�9arCl� Q N� <br />