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<br /> ;,�- � � City o�prono
<br /> ' � ��� P.O.6ox 66 � yUSE ONL1'
<br /> r,�0,. O�1, Date Received� / // Permit� �Ol --3
<br /> , �;.,;. , 2750 Kelley Parkway
<br /> '� ���.�:�. � Crystal Bey,MN 55323 Amounr. �D•� SAC Credir.
<br /> � � ��'• ��
<br /> � �;gt,;},a,/ (9S2)249-A600
<br /> :��stba'A'�;.
<br /> '-•�•^''/ Homeowner{s)Signed: ❑Yes
<br /> ► �� �����'� Resolutions(if eny)Signed:�Xes [�None Required
<br /> r -� Zonin Disclosure Si nod:
<br /> ❑Yes ❑Non�E� uired
<br /> CITY OF ORUNO -DEMOLITION �?ERM�T
<br /> (All permi�s musc be epproved by the Huilding ott;�ial and/or Zoaing�epartment)
<br /> ::... , , .,., .
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<br /> - o. �te:l Owner Info � ""�
<br /> rch�tton^.,,... , . ._,..
<br /> Type: � Residential ❑ Commercial
<br /> Site Address: 3 6 o PrQ�� I(.J`'- `-' '
<br /> Owner: `t�IG�Y�(/l- �I' �Q.,l'� Mailing Address: �S� w�. �•
<br /> �,�: a�-� ►�vuU z,p: ��S 3q I �
<br /> Home Phone: ��� '�� � 0 � �� Alternate Phone:
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<br /> ' li�ant:�: o . ,t' ;:„:::,;; .,:�:
<br /> Contractor./App,' , .... : .. _...:..... ��,..::::.�-�_'`'`:
<br /> . . . ... . ..
<br /> Contractor/App.: V ��� C ntact Person: Q� ���1 ��,��`e
<br /> '�' \ ('�r � �G�
<br /> Address: � � ` (�1eState l.icense#:
<br /> City: -P/1�,Zip: ���� Expiration Date:
<br /> Phone: �6 3` '�"�a '��0� Alternate Ahone:
<br /> ,. . .
<br /> ''' SP`ECIAI..C.O Q.l�s�����
<br /> . . .. � . .. � OT�A:� ,`��3�:�;AG��N�NT:.;.
<br /> General Instructions:
<br /> 1_ Xou may be required to obtain other permits, i.e.: well abandvnment, sewer, etc.
<br /> 2. Work must not begin unless tl�e pe�rnnit card is available on the job site.
<br /> 3. A 24-48 hour notice is required �ot-all �ns[�ectaons. Call (952) 249-4600. �
<br /> 4. Sewer must be discontinued at the City service by qualif ed contractor before demo permit is issued.
<br /> Demoiition by means of: ❑ Manual Disassembly �eavy Equi�ment ❑ Other
<br /> Permit(s) issued: �ewer Disconnection ❑ Well.A,bandvnmient#
<br /> �r� �retu�rn �'o�r issuaQce o�sa�d De�ol�t�o�Permit,the ux�de3rs�gaed ownex b�ereby agrees to:
<br /> 1. Submit a survey, aerial photo or sketc� sk�owix►g all structures on the property. Note which
<br /> structures are to be demo(ished.
<br /> 2. Subrrait a su�rvey, aerial photo o�r sketch showing pxoposed erosion control measures in
<br /> accoxdar�ce witb Chapter 79, Construction Site Runof,j`'Control.
<br /> 3. Submit a$2,000 escrow and an escrow agreement signed by the property owner.
<br /> �. Keep all structure(s) enclosed and/or secured until such time as demolition is co�'nplete.
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