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, . . . ., � ��� <br /> j''���"' ,� City of Orono F > >T usEON�v �7 <br /> i �- NO � P.O.Box 66 Date Received� Permit# oC�� ' �9 <br /> � �, 2750 Kelley Parkway <br /> �f 1 Crystal Bay,MN 55323 Amount $ Q' SAC Credit: <br /> �, � � (952)249-4600 <br /> � � .i. � <br /> ,�y ,` ; Homeowner(s)Signed: ❑Yes <br /> ��'� �;� Resolutions(ifany)Signed:�Yes ❑None Required <br /> ���f S H����-� Zonin*Disdosure Si med: ❑Yes ❑None R uired <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (All permits must be approved by the Building Official and/or Zoning D �artment) <br /> Job Site/ Owner Information: <br /> Type: [�Residential � Commercial <br /> Site Address: � � � �� ��"�" � V11�:'�'�Q ���� ' � '� <br /> 1�,.1K� ��r� � � � /lJ� <br /> Owner� 7� `�- M�-` „ `µ.�'�� � V �� �' <br /> / l Y' <br /> City: 7� L l D�f� ��(S1 S Q 'P�� . <br /> -- c�c=� � V`� � � � J .c� M <br /> Phone: �b 3 '�(o� � � C ` �� t�{`1 �,� <br /> � � ,,,�9 <br /> Contractor/Applicant Information: � ��y� "� � �'" � "�, <br /> ,��v`" �� � �(� <br /> Contractor/App.: ��it> �"��"�t-� � �� �i`�" �PcS' � � �.�� <br /> �► � � �r^� � -��'� r7 <br /> Address: l"1''�Sv I l� r � /L St, � 2 Q �l� �� <br /> ^/ , �� prt Q ,`�li <br /> City: � ��- Zip: /"� ��' Expii '� � _ <br /> � � `� <br /> Phone: �1 b 3 �i Z� 7, ��j 3 Email:_�� ,��'" ✓�c;'vL��5 v1'I b� , ( C��'L1 <br /> SPECIAL CONDITIONS & HOLD HARM. �REEMENT � <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 (�I 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 phota or sketch showing all structures on the property. Note which <br /> structures are to be demolished. <br /> 2. Submit a survey, aerial photo 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 demolition permit without a copy of the permit(s) from the MCWD or <br /> documentation stating permit(s)are not required. <br />