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• <br /> • <br /> • <br /> (.0., �`O City of Orono FOR CITY USE ONLY <br /> `v P.O.Box 66 Date Received: Permit# <br /> 2750 Kelley Parkway <br /> .�� m a Crystal Bay,MN 55323 Amount: $ SAC Credit: <br /> . , yi (952)249-4600 <br /> �+t $ Homeowner(s)Signed: ❑Yes <br /> Resolutions(if any)Signed:0 Yes 0 None Required <br /> Zoning Disclosure Signed: ❑Yes 0 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: Z Residential ❑ Commercial <br /> Site Address: 2 l 2 G .,,-��-, i?��=����-- <br /> ��L <br /> Owner: . -✓l�---- Mailing Address: <br /> City: Zip: <br /> Home Phone: 73-2 ' 7 rq--9/ Alternate Phone: <br /> Contractor/.Applicant Information: <br /> I <br /> Contractor/Appal ,, ,/ 0- Contact Person: �,,-.-ciez.,.___, -i <br /> Address: 7/ —2-0 L7.,e--s-,,,n.c. / State License#: 7 J 2_/ <br /> City: IS;//f;----v‘ Zip: c-- -177 Expiration Date: /2- 3(._ C' 7 <br /> Phone: 7�7 Lf 77 5 47 Alternate Phone: 1,/Z 9/ llz( / <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 Heavy Equipment ❑ Other <br /> Permit(s) Issued: n Sewer Disconnection ❑ 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 />