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�``-��`� Cit of Orono <br /> f:�Q,�`� Y FOR CCCY L�SE O\LY <br /> i P.O.Box 66 Date Received� PermiY# <br /> ! �� ��� 2750 Kelley Parkway <br /> �a t� �` '-�- +�it Crystal Bay,MN 55323 Amount: $ SAC Credit: <br /> ��a� r�,j ya o��� (952)249-4600 <br /> � ��*!O�'� Homeowner(s)Signed: ❑Yes <br /> Resolutions(if any)Signed:�Yes ❑None Required <br /> Zonin Disclosute Si ned: ❑Yes ❑None Re uired <br /> CITY OF ORONO - DEMOLITION PERI'�1IT <br /> (All permits must be approved by the Building Official and/or Zoning Department) <br /> Job Site/Owner Information: <br /> Type: � Residential � Commereial <br /> � <br /> Site Address: � � � <br /> Owner: �I��.C�C� Mailing Address: <br /> City: �V I � � Zip: <br /> Home Phone: ..%�� ~��� ���Z,. Alternate Phone: <br /> Contractor/Applicant Information: <br /> i � • � <br /> Contractor/App.: � � C Contact Person: � <br /> Address: � � State License #: <br /> City: � i'C0��Gt,� Zip: ���`3�� Expiration Date: <br /> Phone: ��2 ' Z-�� �--� L' 7 3� Alternate Phone: �7�Z � �'��� ��� � � <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 �-Ieavy Equipment ❑ Other <br /> Permit(s) Issued: ❑ 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 />