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: Fp���USE ONLY DID ~Gl7 .3 I <br /> City of Orono pa�R���,�. Permii# � <br /> '�'�'�O P.O.Box 66 �1 <br /> �• 2750 Kelley Parkway Amount: S�P,�D SAC Cmd'rt: 1 <br /> Z � Crystai Bay,M7V 55323 <br /> �j,���� (952)249--0600 Ho�vmer(s)Signed: �Yes <br /> Resolurions(if any}Sign �]1'a ❑1+ione Rcquired <br /> Zonin Diselosure Si ed: es ❑hune Re uircd <br /> CITY OF ORONO-DEMOLITION PERMIT <br /> (Ail perrnits must be approved by che Building Official and/or"Lesrsing Departrnen�) <br /> Job Sit�(O��ner Infarx�iation: ---'.� <br /> Type: �Residential ❑ Commercial <br /> Site Address: 3 SZ �0 5/ D� � <br /> �cxl A.�-- f- MA►Rt4YlJ <br /> �wner: �-�url�,W���, Mailing Address: <br /> z� S.s.39 / <br /> c�ty�: o rz��� p: <br /> Home Phone: Alternate Phone: <br /> Contractor I Appiicant Information: � <br /> Contractor/App.: r�2� Gv���COntact Person: <br /> c,e r.hc.t SoNN� <br /> Address: f,�TJS� ZJ R� la'U�- N' State License#: 20 Cv 3 SZ'd-� <br /> City: �7c.�lNlU L�T�f Zip: S S 7 Expiration Date: 3" 3 � ` ZQ 1 � <br /> Phone: (Q/Z - 333- 8o2C7 AlternatePhone: Ca12 ' 88q-3S3t� <br /> SPECIAL CONDITIONS &H4LD HARMLESS AGREEM.EN'�' <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 availabie 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 �Heavy Equipment ❑ Other <br /> Permit(s) Issued: � Sewer Disconnection ❑ Well Abandonment# <br /> In return for issuance of said Demolition Perniit, 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 /> � <br />