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. ti <br /> , <br /> 40� Cih�of Orono FOR CITY USE ONLY I /" <br /> O Q P•O.[3ox G6 Date Received: �-�G C�� Permit# //'j �tF'I i,� <br /> y�,;.�,� 2750 Kelley Parkway <br /> � '`'� `r s. Cr stal Ba MN 55323 <br /> ��=,.,r;�-• �, y y, Amount: $ SAC Credit: <br /> t������o�o` (952)249-4600 <br /> '��exo4 Homeowner(s)Signed: ❑Yes <br /> Resolutions(if any)Signed:�Yes ❑None Required <br /> Zonin Disclosure Si ed: ❑Yes ❑None Re uired <br /> CITY OF ORONO - DEIVIOLITION PERMIT <br /> (All permits must be approved by the Building Official and/or Zoning Department) <br /> Job Site/ Owner Infornlation: <br /> Type: [�Residential ❑ Coimnercial <br /> Site Address: ��1 �P S1"��D`�1..��vl� <br /> Owner: ��� �>��l2� �� Mailing Address: a� l� S�tt�p�; (.���D <br /> City: o jZv�v Zip: �� s��`�� <br /> Home Phone: G�v S J �S j — � cg S�-( Alternate Phone: <br /> Coiitractor/Applicaiit I�lformation: <br /> Contractor/App.: (��C�K� IC-f= N����S Contact Person: �L I/�57?�r� <br /> Address: o���� �5�--� I�����T IG� State License #: a� Fl�� <br /> City: ����i�v Zip: SS3�l Expiration Date: <br /> Phone: ���- ��� -`�5��v Alternate Phone: �i3 -�Sv— ��o� <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEM�NT <br /> General Instructions: <br /> 1. You may be required to obtain other permits, i.e.: ��ell abandonment, sewer, etc. <br /> 2. Work inust 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 sei-vice by qualified contractor before demo pennit is <br /> issued. <br /> Demolition by means of: ❑ Manual Disassembly `�Heavy Equipinent ❑ Otl�er <br /> Pernlit(s) Issued: �Sewer Disconnection ❑ Well Abandoninent # N�� <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby a�rees as follows: <br /> l. The structLire(s) shall be kept enclosed andior sec�u-ed until such tiine as demolition is <br /> coillplete. <br />