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City of Orono FOR CITY USE ONLY <br /> • -v \` P.O.Box 66 Date Received: Permit# <br /> • 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Amount: $ SAC Credit: <br /> (952)249-4600 <br /> "vreinios, Homeowner(s)Signed: ❑Yes <br /> Resolutions(if any)Signed:0 Yes 0 None Required <br /> Zoning 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: (.j Residential ❑ Commercial <br /> Site Address: / ) 30 C- r/-17) <br /> Owner: ---%5ct 04-e S Mailing Address: C� SSl !'ea�✓pec.�40 <br /> City: / /' La( Zip: SS3 7 Z.. <br /> Home Phone: 7s 2 Y y ?- 7( V Alternate Phone: G' 0 c' G Yy l <br /> Contractor/Applicant Information: <br /> Contractor/App.: Contact Person: i6rai A on ki,tt <br /> Address: State License#: <br /> City: e Zip: Expiration Date: <br /> Phone: S 7S 02 ( 0 g Alternate Phone: <br /> SPECIALCONDITIONS & 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: n Manual Disassembly (,Heavy Equipment [Other /5'L e <br /> fZQw� V4_I <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 />