Laserfiche WebLink
Fab-14-Ol 09:IIP John Thomas Homas, Inc.612 471 094B P.03 <br />7._ f • <br />^A^(hiii3wofkiqgdq9of«ipcntnietarefcmoval,afiniliDsptetiondiilllitx«quattd. The <br />lilt ihd be left dcaa Hid dW of ill debris, with ti^ otesvaticn filled euth level ^vfah <br />the s4'sccnt groiad devatlon (ces^t whea such ojuevHioa is to be used u p«ft of • new <br />bdlding tnd tudi new hdldaig U acxuslly under constiuetioa).• • <br />• • • • <br />t.‘ The underdgwd ewn« ibsn 'ud heciby does iadenuiiQr and hold hamlm tbs City of <br />Orono, ita ageBl% cnyloyecs and as^gaa fton and sfiiast all *^«**«, damsges, losses or <br />eqpease^ including aitoraay fteSk sgsinst the City, iu agents, employees and asil9» arising <br />out efor rawWoB from ihe demoSdon described herdo as pedbn^ the propeny owner. <br />hU enydctyeeivagcfits.subcoometots or assigns. . f 1^7 . <br />VERMT/TYPE AND HX CALCULATION <br />$30.00 •Prinqpd Stxuetuie <br />$30.00-AccessoiyStiueiura <br />1. Subtotal of above penult req;aested S <br />State Surcharge $ <br />a • • <br />TOTAL PERMIT FEE (add lines 1-2 above) <br />^0 <br />2. <br />3.s c; 0 <br />The underdgned hnaby applies to'riie City of Orono for issuance of a Demolition Penntt. agrees to <br />do all work in strict accordance with rite ordinances of ^ Gty sod the rsgulsrions iaf the StaM of <br />MinocsotA certifies that all statcoMOts pMde on this appUcation are oonvletc^ true and correct <br />APPUCANT'S SIGNATU <br />OWNER'S SlGNATUREi___ <br />>; (QyAPPROVED BY: <br />2* n'U/:> I <br />i ^ .»* * j** <br />i <br />2 -7./- 01