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, <br /> ` � � `�? � 7� �`� <br /> �� <br /> �Q j\ City of Orono SE ONLY �z <br /> l O `rO.' P'O.Box 66 Date Received:���Permit#o'�l�l!-D� w <br /> �:, � 2750 Kcllcy Parkway r � <br /> �� ;1���J !�J Crysta]Bay,MN 55323 Amounr. $�'�• SAC Credit: ' <br /> � ,7%>�}�ae' (952)249-4600 <br /> ��s�O� Homeowner(s)Signed: ❑Yes <br /> Resolutions(if any)Signed:Q Yes ❑None Required <br /> Zonin Disclosure Si ned: Yes None Re uired <br /> CITY OF ORONO-DEMOLITION PERMIT <br /> (All permits must be approved by the Building Official and/or Zoning Department) <br /> Job Site/Owner Information: <br /> Type: �Residential ❑ Commercial <br /> Site Address: � ���C: ' �� <br /> Owner: ���G�,1� \ ��� Mailing Address: �� � � ����-�� �� <br /> City: V���,C� Zip: <br /> Home Phone: �%�Zr��-�l� �l ��Z Alternate Phone: ��.�� �-�� ' ���Z <br /> Contractor/Applicant Information: <br /> Contractor/App.:T� ,� �j��,,,�f�� Ci-�� Contact Person: ���E� <br /> Address: `���� VJ�S�' �f� �"'� State License#: '""'- <br /> City: ``����Lti�Zip: �3�� Expiration Date: --_ <br /> Phone: ���� 1 �7 S " / 7 7� Alternate Phone: ��Z-�Z��� '"� < �� <br /> SPECIAL CONDITIONS & 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 retzu-n for issuance of said Demolition Permit,the undersigned owner hereby agrees as follows: <br /> 1. The structure(s)shall be kept enclosed and/ar secured until such time as demolition is <br /> complete. <br />