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-70, <br /> City of Orono Fp jt C�TY USE ONLY <br /> P.O.Box 66 Date Received: q 1 Permit# a O{l- t�df <br /> ' <br /> � `2750 Kelley Parkway <br /> i '!. Ij Crystal Bay,MN 55323 Amount: S SAC Credit: <br /> • 1,c, (952)249-4600 <br /> Homeowner(s)Signed: ❑Yes <br /> Resolutions(if any)Signed:0 Yes 0 None Required <br /> Zoning Disclosure Signed: 0 Yes 0 None Required <br /> CITY OF ORONO- DEMOLITION PERMIT f�E�!�1 �® <br /> (All permits must be approved by the Building Official and/or Zoning Department) V <br /> 0 <br /> Job Site/Owner Information: MAS 2011 <br /> ciry of ORON° <br /> Type: ® Residential n Commercial• 6713 75 l/t),Lah 00 de <br /> Site Address: %1 r 5� ` <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor/Applicant Information: <br /> Contractor/App.: M tx —VC VAlfICS4V1r),SCap>L Contact Person: LaYry <br /> Address: PO go' l51 State License #: <br /> City: Nor-over Zip: SS 341 Expiration Date: <br /> Phone: -1103 `Ac-16-te a- Alternate Phone: 1't3 .Q c\- 30`\1 <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 <br /> issued. <br /> Demolition by means of: ❑ Manual Disassembly F1 Heavy Equipment ❑ Other <br /> Permit(s) Issued: ❑ Sewer Disconnection n Well Abandonment# <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as follows: <br /> 1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> complete. <br />