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~ Ci of Orono <br /> City FOR ONLY <br /> P.O.Box 66 Date Received: a C Permit# <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Amount: $ SAC Credit: 7�/L <br /> (952)249-4600 ( Lj� , a Mow- <br /> HoMeowner(s)S' ed: ❑Yes <br /> Resolutions(if any)Signed:E]Yes 9None Required <br /> `gkESHD4� Zoning Disclosure Signed: ❑Yes ENone 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: 0 Residential ❑ Commercial <br /> Site Address: 1600 w 1�w �r►L� S'o �L <br /> Owner: Z"2'd8!!�, /t- S Mailing Address: Itf00 (�(��^!/ow /J.-'w. <br /> ove-40 <br /> City: Zip: <br /> Phone: Email: <br /> Contractor/Applicant:Information: <br /> Contractor/App.:A/p..,.es Ge2a Contact Person: <br /> Address: 10 "/�lS— t7k State License#: <br /> City: Zip: S-SST/ Expiration Date: <br /> Phone: 70— G'.z i 9' Email: 1"'e-.s4,'s�4'J <br /> SPECIAL-CONDITIOUS .H.OLD fiARMLESS°AGREEN ENT <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: S Manual Disassembly 29Heavy 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 />