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r � <br /> �' � <br /> O City of Orono �t us�o�,Y /� <br /> O PY <br /> � P.O.Box 66 Date Roceiu Permit# �2 L/ �� <br /> � 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Amount $ SAC Credit: <br /> (952)249-4600 <br /> � �<) 8n <br /> y �' Homwwn s 3i ed: ❑Y'os <br /> �"� G~ Resolutions(it'any)�igned:[]yes Q I*lnne Required <br /> �k'BS H O��' �onin DisElostiu�c S' ed: �Yes None R .ircd <br /> �� �d �� ?�7-0�54.3 <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (Afl permits must be approved by the Building Official and/or Zoning Department) <br /> �a /3 x n�+��o�i' <br /> Type: [2�Residential ❑ Commercial <br /> Site Address: �� 2� S�c�.� �. �., oo� J�--� <br /> Owner: Mailing Address: <br /> City: 0 d�'a :.� o Zip; <br /> Phone: Email: <br /> Cc� ���� �� <br /> Contractor/App.: 7a' ,- d-� Sd� � Contact Person: / " l.l� >� <br /> � � <br /> Address: � �`'�� < <ti � 3 State License#: t- �� �' 3 5 S �( � <br /> , <br /> City: ���- Zip: ��i`{ � Expiration Date: �Z �� � <br /> i� <br /> Phone: _ �1�i 2`� �$ `{( 3 3 Email: �'��;y 4� �-1 S o.1 s��s r`.�o-�. <br /> _.., .4'�; � . ,� <br /> .. � <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 senrice by qualified contractor before demo permit is issued. <br /> Demolition by means of: ❑ Manual Disassembly �eavy Equipment ❑ Other C�� <br /> Permit(s) Issued: ❑ Sewer Disconnection ❑Well Abandonment# �'' <br /> �' <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 Runoff 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 /> Fom►Last Updated: July 2015 �'���5� � <br /> 150784 � <br /> � <br /> � <br />