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t '� <br /> ��� City of Orono FOR CITY USE ONLY <br /> - �"Q�'��j�=� <br /> P.O.Box 66 Date Received: � "� ermit# ��t� <br /> � Q�t= 2750 Kelley Parkway �./� r�j � <br /> � '�h� � Crystal Bay,MN 55323 An jount: $ �--(��� SAC Crcdit: �� >/�+'� ��( �} <br /> e� `� � • o`.' (952)249-4(00 �,/ir7y &j�f 0'7 �,Q,�/ 9���,� <br /> ��esxo4`�, <br /> >;,,,_ I{omeowner(s)Signed: ❑Yes <br /> Resolutions(if any)Signed:�Yes ❑None Required <br /> Zonin Disclosure Si�ned: ❑Yes ❑No��e 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: �✓�� b � �'�'�� ' "� <br /> Owner: /�i //U �� � Mailing Address: ��y ✓°��'---�-Y� ��'''� ��� <br /> City: S� �u�� Zip: J�S�l.�s <br /> Home Phone: S��' �'S�� ✓ �� / Alternate Phone: �S�-��6'� � <br /> Contractor/A�plicant In�formation: � <br /> Contractor/A •CC'�'� ��q°''U� �Sd�5 Contact Person: � /''u l�''S/�'''�� <br /> rr�� <br /> Address: l�✓ � 5��� �� State License#: <br /> Cit �7'� �liu � Zi �J 5'/� � <br /> y: p: Expiration Date: <br /> Phone: �/�'��2 Z � �6Z �� Alternate Phone: ��z�l� g6�� <br /> ,. <br /> � h...,P�_ � �����.' �.,� .. ' ,5;��$i��(OLD,���2',ML�ES��;� ,_ :�,��1'�T�.. ���.r. <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 return for issuance of said Demolition Permit, the undersigned owner hereby agrees as follows: <br /> 1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> complete. <br /> N���C��q_ <br /> 4:y,`�13a�� ✓So.rcx�� ��0�'�2�'1 , , <br /> _ �' . ��.� <br />