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Q City of Orono FOR CITY USE ONLY <br /> � � � P.O.Box 66 / Q 7 <br /> (� � Date Received: Permit# � <br /> a�,y, � 2750 Kelley Parkway / <br /> � ��^�"�' �� Crysta]Bay,MN 55333 Amount: ��,�(�SAC Credir. � <br /> ���,���,�o� ,9sz�za9-a6oi� <br /> ��./ Homeowner(s)Signed: ❑Yes <br /> Resolutions(if any)Signed:0 Yes Tone Required <br /> Zonine Disclosure Si ned: [�es ❑None Re uired <br /> CITY OF ORONO -DEMOLITION PERMIT <br /> (All permits must be approved by the Building Official and/or Zoning Department) <br /> ' � ��'� �,h�,x, � {a�� ���,s �� <br /> Type: [�] Residential ❑ Commercial <br /> ��S �r t�.V..�'1 �'`d �a�� <br /> Site Address: ,.� <br /> c�' <br /> Owner: ��� � �j(� � /�� _ Mailing Address: (��������� � ,��i1^� ���� <br /> ���n� /' '� `'� �� <br /> City: Zip: �l l!';/;'r-.�/'�''j,,�,�1.�, <br /> p� `'� Z �`�j�_ l _�: `'s:��l,� <br /> Home Phon 1��_ -�`� <br /> : ��� �7 �����J Alternate Phon : I� �(�" <br /> �ontractor/Applicant InfornZatian: —� <br /> Contractor/App.: � J �' <--���.�, ,/1(j,� Contact Person: ��-�`� �f I��� <br /> � � , ��� �-. <br /> Address: State License #: <br /> City: Zip: Expiration Date: <br /> Phone: Alternate Phone: ��Z �' ' �� � ,�j <br /> �°'�`¢�`'� � �P'ECIAZ C�11T3�� ' � `D HARM1ZLESS AGREEIVIENT <br /> �, r.�������� � . <br /> General Instructions: <br /> :. 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 [rOther 13�� h`{ �-��-� r� <br /> Permit(s) Issued: ❑ Sewer Disconnection ❑ Well Abandonment# <br /> In return for issuance of said Demolition Permit, t;ne undersigned owner hereby agrees as follows: <br /> L The structure(s) shall be kept enclosed and/ar secured until such time as demolition is <br /> complete. <br />