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���� CitV of Orono F R CI 1'U5E ONL1' <br /> ��. �� P.O.Box 6G Date Rec�ived: /D Permi(if L7�0— ��� <br /> li �++.�� � '7Sq Kclley Parkivav <br /> ' ���.;�'. Crysta!Bay,MN 553«3 Attmunt: 5 �SAC Crc�iit: <br /> ��� �.�� d�l � <br /> ��+�� `�o (952)2�i9-a600 <br /> ��HO� Hornea�vnerts)Si�,m�d: �Yes <br /> Resa3utions(if any)Signed:�Yes ❑Nonc Rcquired <br /> Zonin nisclosure Si mc<t: ❑Ycs ❑Nonc Rc uired <br /> CITY QF ORONO-DEMOLITION PERMIT <br /> (All permits must be approved by the Building Officia]and/or Zoning Department) <br /> Job Site/Owner inlonnation: j <br /> Type: �Residentia] ❑ Commercia] <br /> Site Address: rJ jZ.� �l.,L.., �il.�. <br /> Owner: �i�k�iZ1> � � 7-0I�l 1�. Ma]IlI1�ACIdI'C55: �� �c�Ot2. (�v(L"r <br /> City: '�QNK� "g�/I Zip: ���3 ( <br /> Home Phone: _��2.4�0 l . g(Q�p Alternate Phone: e�,�, ta�2.. 3�q , 5351 <br /> Contractor 1 Applica�it lnformation: � � <br /> �.��r�-- ���,-�- � <br /> Co�ltractor/Ap�.:��,A(t�yl�iYu�� Contact Person: '�t.C'e� �r.�� <br /> Address: 1�1,2A� �1�,�,h �j u(� State License#: �0 1 q, (�"� <br /> City: _ �y4�1I�t�, Zip: ��3� � Exparation Date: 1N�n.-n.c.rt 'ai Zo (Z. <br /> Phone: �S Z. �7� • �q q o( Alternate Phone: �.�'tt-c_ (.Q(2,��q . 2$3�e <br /> —------------___T____ _____----------- <br /> ' SPI;CIAL CONDITIOiVS ��C HOLI) HAR1biLESS AGREI:MENT j <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 retum for issuance of said Demolition Permit, the undersigned owner hereby agrees as follows: <br /> l. The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> complete. <br />