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� <br /> ., <br /> • �-g0�j`\ City of Orono FO—��;cITY USE ONLY ' � <br /> /� `r�� P.O.Box 66 Date Received: �'i��,) Permit# � � �� <br /> � y;�,,, � 2750 Kelley Park���ay� � <br /> �� ����� Crystal Bay,MN 5�323 Amount: $ C�7 �SAC Credit: � � <br /> �+�, f�a (952)249-4600 ^(`�'�' <br /> __-� Homeowner(s)Signed: �[�es ' � � / <br /> Resolutions(ifany)Signed:�Q Yes ❑ e Required ��� <br /> Zonin Disclosure Si ned: ❑Yes one Re uired <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (All permits must be appro��ed h�the Building Official and/or Zoning Department) <br /> Job Site/Owner Information: <br /> Type: ❑✓ Residential ❑ Commercial <br /> Site Address: 1374 Rest Point Road, Mound, MN 55364- <br /> Owner: Gary & Kathryn Gangstee Mailing Address: 3365 Shadyview Lane <br /> Cit Plymouth Z� 55447 <br /> Y� P� <br /> Home Phone: �763) 476-2096 Alternate Phone: (612) 718-6959 <br /> Contractor/Applicant Information: <br /> Lake Country Builders, LTD Sarah E. Williamson <br /> Contractor/App.: Contact Person: <br /> Address: 339 Second Street State License #: 20349679 <br /> Excelsior 55331 03/31/08 <br /> City: Zip: Expiration Date: <br /> (952) 358-7316 (612) 860-0641 <br /> Phone: Alternate Phone: <br /> SPECIAL CONUITIONS & HOLD HARMLESS AGREEMENT <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 as follows: <br /> 1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> complete. <br />