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r 4 <br /> O.046 <br /> City of Orono 1 ,''- FOR CITY USE ONLY <br /> P.O.Box 66 Date Received: Permit# 4 j I v <br /> w 4it„ 2750 Kelley Parkway <br /> �,Y fr Crystal Ba MN 55323 <br /> Y Y Amount: $ SAC Credit: <br /> ��C,,+,,�l�' 'iia o (952)249-4600 <br /> \$Ko <br /> Homeowner(s)Signed: 0 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 <br /> (All permits must be approved by the Building Official and/or Zoning Department) <br /> Job Site/ Owner Information: <br /> Type: Residential ❑ Commercial r <br /> Site Address: gL' C----5 t' )� (Q .1a L�—Q- r r <br /> t <br /> Owner: (-RD I& a lA4 h-1 S Mailing Address: <br /> City: �c-\e,-,_ .- ---e..,..- ,`,- Zip: <br /> Home Phone: ?5-02 s-9(96 L 77 I 1 Alternate Phone: <br /> Contractor/Applicant Information: <br /> Contractor/App.: sc�;,`gi,5 J—41. Contact Person: a--')- ekt,51.t .-ti".. <br /> Address: 7d'7' ijeit/AriviAti5C State License#: 3 531/ <br /> City: (pox,tet- h Zip: .5-37W Expiration Date: 3—yi - 03' <br /> Phone: 9c,9 1-i -y 3,2 (q' Alternate Phone: e /i.g 3i) ?010 <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 /> e4. Sewer must be discontinued at the City service by qualified contractor before demo permit is <br /> issued. <br /> Demolition by means of:, 'Manual Disassembly XHeavy Equipment fl Other <br /> Permit(s) Issued: n 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 />