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.�, <br /> � 4�� City of Orono FOR CITY USE ONLY <br /> O 0 P•O.Box 66 Date Received: Permit# <br /> 2750 Kelley Parkway <br /> � � , � Crystal Bay,MN 55323 Amount: $ SAC Credit: <br /> � (952)249-4600 <br /> Homeowner(s)Signed: ❑Yes <br /> Resoludons(if any)Signed:�Yes ❑None Required <br /> Zoni Disclosure Si ed: ❑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 /> Type: 0 Residential ❑ Commercial <br /> , / <br /> , <br /> Site Address: ;' `�� S�'�'i�'� h �1 � ' <br /> � �» , g <br /> Owner: w I t� Q� SK f Mailin Address: <br /> City: �r�� � Zip: �s-�'� � <br /> Home Phone: Alternate Phone: (,� �Z�� �� ZZ�I <br /> Contractor/App.:PQ��n-� 'V v i ctSo v�►^y Contact Person: <br /> Address: �D.��� � 'C�� z �' State License#: <br /> City: 0 L V� Zip: ��3b� Expiration Date: <br /> Phone: �C� Z— / �d"�7 7 Z Alternate Phone: <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 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 to: <br /> 1. Submit a survey, aerial photo or sketch showing all structures on the property. Note which <br /> structures are to be demolished. <br /> 2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in <br /> accordance with Chapter 79, Construction Site Runoff Control. <br /> 3. Submit a$2,000 escrow and an escrow agreement signed by the property owner. <br /> 4. Keep all structure(s) enclosed and/or secured until such time as demolition is complete. <br />