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, - ���' <br /> � ��� <br /> � <br /> `r:¢0�� CityofOrono F� C USEONLY ��3 <br /> P.O.Box 66 Date Received:��it#o��la— <br /> �� �� 2750 Keiley Parkway <br /> ��� �=?��� Crystal Bay,MN 55323 Amountt S SAC Credit <br /> ����� (952)249-4fi0D <br /> ��°�" � Homeownu(s)Signed_ ❑Yes <br /> Resolutions(if any)Signed:❑Yes ❑None Requirod <br /> Zonin Disclosure S� � ❑Yes �None uired <br /> CITY OF ORONO-DEMOLITION PERNIIT <br /> (Ail p�mits must be approved by the Building Qfficial andlor Zoning Deparunent) <br /> Job Site/Uwner Information: <br /> Type: �Residential ❑Commercial <br /> Site Address: ���s ��t.-� ��'�" <br /> Owner: �^c� �irM1S!y0 •r � Mailing Address: ��E� e l7ru�� /'7� <br /> f�pt� � /$f/� SS3�F(o� <br /> Crty: ��v-�e Zip: <br /> Home Phone: �Sa--q`�Q'��(v� Altemate Phone: (ol a '��-'�3�� �C+!►� <br /> Contractor/Appticant Information: <br /> ,--- ,� <br /> Contractor/App.: �)i� ��'._.J��'15_ Contact Person: �� �'� <br /> Address: �U� - ( State License#: <br /> City: � ,nJL Zip: ���`'�� Expiration Date: <br /> Phone: �,'�j�-`t?,��4�33 Alternate Phi,ne: (�!� vv���J�� <br /> SPECIAL CONDITiONS&HQL���ARtl2'LESS AGREEMENT <br /> General Instrucrions: <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 far alt inspections. Call(952)249-4600. <br /> 4. Sewer must be discontinued at the City service by qualifted contractor before demo permit is issued. <br /> Demolition by means of ❑ Manual Disassembly �Heavy Equipment ❑Other <br /> Permit(s)Issued: ❑ Sewer Discannection ❑ Well Abandonment# <br /> In return for issuance of said Demolition Permit;the undersigned owner hereby agrees to: <br /> 1. Submit a survey, a.erial phata or sketch showing all structures on the property. Note which <br /> structures are to be damolished. <br /> 2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in <br /> accordance with Chapter 79, Corrstruetion Srte Runof�Control. <br /> 3. Submit a$2,000 escrow and an escrow agreement signed hy the property owner. <br /> 4. Keep all structure(s)enctosed andlor secured until such time as demolition is complete_ <br />