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0 City of Orono F�USE ONLY <br /> � � P.O.Box 66 Date Received: / Permit#�O��"0�7 � <br /> ��;,,��� �� 2750 Kelley Parkway ,�� <br /> `� '�� Crystal Bay,MN 55323 Amount: $�J�� SAC Gedit: <br /> t� �� �' "�d'� (952)249-4600 <br /> ��°�'y Homeowner(s)Signed: ❑Yes <br /> Resolutions(if any)Signed:�Yes ❑None Required <br /> Zonin Disclosure Signed: ❑Yes ❑None Re uired <br /> �t ia�'9 � <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (All permits must be approved by the Building Official and/or Zoning Department) <br /> � � �/.•Owner Information: ; <br /> Type: � Residential ❑ Commercial <br /> Site Address: /'y 7 3 �A'�/ /2l D6E �Uk'D , �!+y��T14�B/2oNo� , 11�1/1! <br /> Owner: �}O�!'1�J5 �/'V/°�'V/�!E Mailing Address: /y7,��y ,���� R� <br /> City: D 2o ND Zip: S�3�/ <br /> Home Phone: �S Z- �73- 3a ys Alternate Phone: tGE�[,� a 3 g- al I G -o O 2 8 <br /> � ` � �cant Information: DEr►10 �EA��7ttWolZ� .Sv13�b�c7a� <br /> ,w.._....,�... .._ � <br /> o��ER $oLLi cov,vcnlS, /�./� <br /> �i�oi ?y Ro�-y 3, I`�P Kl.vs rn n1 <br /> Contractor/App.: 7ff�oalpS �2, IY)��'UN� Contact erson: SS3y,3 <br /> c��-n Fz <br /> Address: / 3 �y 1 � �D State License #: o r /��� <br /> City: �i4-��-�-Tf� Zip: 5�53'�'/ Expiration Date: ntor� �E�'D <br /> Phone: qSz -y73 �3 a ys Alternate Phone: 95Z— 938-h�l33 Cc��D� <br /> .�:�!��,��.�;�����`�SP�C�AL�l�T��T�0�1S&HOZ�=HARIVILESS AG1tE�E�%IENT <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 issued. <br /> Demolition by means of: ❑ Manual Disassembly [�Heavy 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 /> l. 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 $2,000 escrow and an escrow agreement signed by the property owner. <br /> 4. Keep all structure(s) enclosed and/or secured until such time as demolition is complete. <br />