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• k i <br /> O City of Orono FOR gITY U E ONLY <br /> P.O.Box 66 Date Receive it# <br /> 2750 Kelley Parkway <br /> Crystal Bay, MN 55323 Amount: $ SAC Credit: <br /> (952)249-4600 <br /> Homeowner(s)Signed: ❑Yes <br /> �<n <br /> Resolutions(if any)Signed:❑Yes ❑None Required <br /> t�kfSHOIZoning 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: Residential ❑ Commercial <br /> Site Address: LJIJ PAX-0, KAA- - <br /> Owner: �� Mailing Address: VT&,aj P,0 <br /> City: �` r�/1�.. Zip: �v53 <br /> Phone: IQ*ai=�.. 3 Email: 67J 8 L k- ? <br /> Contractor(,Applicant Information: <br /> Contractor/App.: Contact Person: <br /> Address: sw State License#: <br /> Goe <br /> City: OV-000 Zip: C� ') Expiration Date: <br /> Phone: Email: <br /> SPE-CIAL COWDIT ONS r�t10LD ►1Fl:MLESS RE'E EDIT <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 /> Derx olition b means of: ❑ Manual DisassemblyHeavy 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 copy of permit approval from the Minnehaha Creek Watershed District (MCWD). The <br /> City will not issue a demolition permit without a copy of the permit(s) from the MCWD or <br /> documentation stating permit(s) are not required. <br />