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l <br /> O,¢��O City of Orono FOR CITY USE ONLY <br /> P.O.Box 66 Date Received: Permit# <br /> 2750 Kelley Pazkway <br /> ���� Crystal Bay,MN 55323 Amount: $ SAC Credit: <br /> (952)249-4600 <br /> Homeowner(s)Signed: ❑Yes <br /> Resolutions(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 Departrnent) <br /> Type: [�]"Residential ❑ Commercial <br /> Site Address: 4��;5%���5 ��i ��� ' <br /> , <br /> Owner: �/'����� .���N� Mailing Address: <br /> c�ry: r'Yc�Nv z�p: <br /> Home Phone: ��2 � `�,3- ����- Alternate Phone: <br /> � 1 <br /> Contractor/App:•���,���'—��J �- ContactPerson: �(/�rz/ ��C�CC� <br /> �}�I��l:02 S' <br /> Address: 5//3 (.J �������.5?� �/7(a State License#: `-��3�'s� <br /> City: ���m.�,�t�.,.. Zip: .5�� Expiration Date: 3 l �� � v�0�2 <br /> Phone: ,�'/5�- S�� �63� Alternate Phone: 7��3� 2 ZCs -/��'/� <br /> . . <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 service by qualified contractor before demo permit is issued. <br /> Demolition by means of: ��ZVlanual 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 a11 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 />