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�ON City of Orono FOR MY USE ONLY �^ <br /> P.O.Box 66 Date ReceivedPermit#�7 J 7� <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Amount: $� SAC Credit: <br /> (952)249-4600 J <br /> yHomeowner(s)Signed: ❑Yes <br /> Resolutions(if any)Signed:❑Yes ❑None Required <br /> �AkES H O 6 Zoning Disclosure Signed: ❑Yes ❑None Required <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: n Residential ❑ Commercial <br /> Site Address: 230 TONKA AVE, ORONO, MN 55356 <br /> Owner: Everlast Enterprises Inc Mailing Address: 4109 No Shore Drive <br /> City: ORONO Zip: 55364 <br /> Phone: 612-868-0748 Email: <br /> Contractor/Applicant Information: <br /> Contractor/App.: James Cleary Contact Person: James Cleary <br /> Address: 4109 No Shore Drive State License 1,5 LL <br /> City: Orono Zip: 55364 Expiration Date: i I,;L bt <br /> T <br /> Phone: 612-868-0748 Email: Jim@EveriastEnterprises.com <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <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 RJ 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 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. (� p <br /> Form Last Updated. July 2015 t o -Q tel' L RECEIVED ED <br /> 150784 <br /> DEC 2 8 2016 <br /> CITY OF ORONO <br />