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-�.1_.1.��" <br /> �'�,� � � _ <br /> City of Orono FO CI Y USE ONLY. <br /> �j �.�_ P.O.Box 66 Date Received: �� IlC I S Permit# Z�C S'�(�� �O � <br /> J ` 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Amo�t: $—�— SAC Credit: <br /> �Vy�s�S (952)249-4600 ✓,/ (Je`." a�':4�tp5 c�f-Y� G--7/'� / glvl--�/u <br /> `�}�� SSSX+� ' <br /> I ' 7 H'omeowne s)Signed: Yes <br /> � ,Ay �� Resolutions(if any)Signed:�Yes ❑None Required � � <br /> �� '�, Zonin Disclosure Si ed: Yes None Re uired ���p�{'"' <br /> l;i-� <br /> C►n��S Sci�d t�� �sc.i�w v��- <br /> �1�/ ,�l i� �,�� ��� t-�� <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (All permits must be approved by the Buifding Offiaal andlor Zoning Department) � � �� <br /> Job Site/Owner Information: �S�� <br /> Type: � Residential ❑ Commercial <br /> Site Address: 2000 Shadywood Rd <br /> Owner: Sustainable 9 Holdinqs LLC Mailing Address: 125 Main St SE, STE 343 <br /> City: Minneapolis Zip; 55414 <br /> Phone: 612-636-3232 Email: ryanhanson@sustainable9.com <br /> Contra�tor/Applicant Information: <br /> Contractor/App.:,,,�-�a�hable� �2 ` v►��'��ontact Person: ��l2t�• �a�5p►� <br /> � <br /> Address:f�� ��"��S£ 5 l 3�"�3 State License#: �C�D���J� <br /> City: �l HK�\i S Zip: LJ L��� Expiration Date: �� 2.01(�p <br /> Phone: �1z"�3�0^,�j�.32. Email: r"u_��p,_���5'�atnab�e 1,. C0�^'l <br /> j— --- <br /> SPECIAL CONDITIONS � HOL.D 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 availabls on the job site. <br /> 3. A 24-48 hour notice is required for atf inspections. Call(952)249-4600. <br /> 4. Sewer must be discontinued at the City service by qualified contractor before demo permit is issued. <br /> Demolition by means of: ❑ Manual Disassembly (BJ Heavy Equipment ❑Other <br /> Permit(s)Issued: Sewer Disconnection �Well Abandonment#�� 2 T�a�h`�' �e��{r ���� �N <br /> 2c�r 5 '�� ��t� s���l� 1�Je,tt `��I I ck <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 structures are <br /> to be demolished. <br /> 2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in accordance with <br /> Chapter 79, Construction Site Runofl�Control. <br /> 3. Submit a copy of permit approval from the Minnehaha Creek Watershed District (MCWD). The City will <br /> not issue a demolition permit without a copy of the permit(s) from the MCWD or documentation stating <br /> permit{s)are not required. <br /> Form Last Updated. Ju1y2015 �' �'•��"��_�� <br /> 150784 � <br />