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� . � <br /> l <br /> o City of Orono C Y U E ONLY�9'� <br /> � � P.O.Box 66 Date Received: a! Permit# vS[�/-` (� ��� <br /> 0 2750 Ke(fey Parkway U A/� <br /> Crystal Bay,MN 55323 Amount: $ 6 SAC Credit: <br /> (952)245-4600 r v�� `t1� <br /> '' � Homeowner(s)Signed: ❑Yes <br /> � <br /> �' �,� Resolutians(if any}Signed:�Yes ❑None Required <br /> `'KESH�R� Zonin Disclosure Signed: ❑Ycs ❑None Re uired <br /> L..rnsq s/�/�s �jCXCM,,� <br /> CITY OF ORONO - DEMOLITION PERMIT ������ <br /> (All permits must be approved by the Building fJ�cial andlar Zoning Department) <br /> Job Site /Owner infiormation: <br /> Type: c� Residential ❑ Commercial <br /> Site Address: o� ��� C_��' Vv�ct,vt. Sf <br /> Owner: ���+'I„�.����lQc�`r� Mailing Address: ��57 ..LSl� U1�c���v- <br /> City' M 6 c.c,v�l.� Zip: `�,� (v�$ <br /> Phone: (p(�-1 b r —�f 73-� Errzail: ��f,,.� C� ��sv�-�.r►C���t� <br /> Contractor/Applicant Information: <br /> Contract�r/App.: /tn�-G-'-C �-(0 Uk_.,�....5 Contact Person: __JV' ►T��t <br /> Address: )Co� � �V'f1,c� ��' State License#: �C �P��t ��� <br /> City: ��� Zip: �� Expiration Date: �/�/��/(L, <br /> Phone: n����- "�'DI�--- Email: 1\.� �c�.(� �r�-¢-�Gw+-i�S/�� ��t <br /> SPECIAL. CdNDITIONS &'HOLD HARML.ESS AGREEMENT <br /> General Instructions: <br /> 1. You may be required to obtain other permits, i.e.: weil 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 inspec#ions. Call (952) 249-4600. <br /> 4. Sewer must be discontinued at the City service by qualified cantractor before demo permit is <br /> issued. <br /> Demolition by means of: ❑ Manual Disassembly �Heavy Equipment ❑ Other <br /> , <br /> Permit(s) Issued: �S�wer Disconnection 0 Well Abandonment# <br /> in return for issuance of said Demolition Permit, ti�e undersigned owner hereby agrees to: <br /> 1. 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 propased erosian controE measures in <br /> accordance with Chapter 79, Canstruction Site Runoff Control. <br /> 3. Submit a copy of permit approval from the Minnehaha Creek Watershed District (MCWD). The <br /> City wifl not issue a demolition permit without a copy of the permit(s) from the MCWD ar <br /> documentation stating permit(s) are not required. <br />