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* . ` 4► <br /> �(� City af�ronn �R Cri'Y U51E OAILY . . )��� ; <br /> P.O.Box 88 Dme Rettrved; Pmmit i!Y� <br /> �{VD 2780 Keftey Perkwey ( � <br /> Cryata!Bay.MN 55323 I Amoimk S SAC Cmdit � <br /> (962}249-4600 <br /> 'j,F, � Homwwtrcr(s)Signcd: 0 Yta <br /> c�` V� Resolatiams{ftany)Signed: Yes ❑Noae Requirad <br /> �'r�SHOQ'� Zonin Diwlosare3i Yw ?Jona ired <br /> ClTY OF ORONO- DEMOLITION PERMIT <br /> (All permks must be approved by the 8utkling Oificial and/or 2oning Dapartme�tj � <br /> ,�J �c�;Sit�L Owr�er'fnf.c�rr�aa�ir�n: <br /> � ' <br /> Type: �Residential ❑ Commer�cial <br /> 3ite Address: �22 S �'^5� Q C t r� 1-�- �('cn1 c <br /> Owner: /L1M�����K Mailing Address: "'��-� cw��Q ��`-� <br /> City: o �c�S C� zip: 55�'1) <br /> Phone: �5 Z- 'Loo- �(8'1 a Email: N�1-cz a (a� c��145�►", �� <br /> Cor�tra��mt/Appkca�at lnfiot�na#�nr�:•:.� <br /> Contractar/App.: 5�'�'����c Z , �� c Contact Person: 5�� <br /> Address: 1 S'� � ���=-� ST State License#: '�i�5� �3�5 <br /> City: �✓�/�_ Zip: �5 3 K 1 Expiration Date: �f��f <br /> Phone: ��2- H L2- y o�� Emai�: S�tN C� Yt'��ac Z .co.-� <br /> -�.:C�a1d�'a£��f:ttaL�;N;�����i�{�l��!l���'.:, - <br /> General Instructions: <br /> 1. You may be required to obtain other permits; i.e.:weli abandonment, sewer, eta <br /> 2, Wark must not begin unless the permit card is availal�le on the job site. <br /> 3. A 24-48 hour notice is required for all inspections. Cafl (952)249-4800. <br /> 4. Sewer must be discontinued at the C[ty service by qualified contractor before demo perrnit is <br /> issued. <br /> Demofition by means of: ❑Manuai Disassembly [�Heavy Equlpment ❑Other <br /> Permit(s) Issued: [� Sewer Disconnectinn �]Well Abandonment# <br /> i� return for isauance of said Demol�tion Permit,the underslgned owner hereby agrees to: <br /> 1. Submit a survey, aerial photo or sketch showing all strudures on the propertyr, Note which <br /> struct�ares are to be asmolished. <br /> 2. Submit a surv�y, aerial photo or sketch showing proposed erosion control measures in <br /> accordance with Chapfer 79, Construction Site Runoff Control. <br /> 3. Submit a copy of perm(t approvai from the Minnehaha Creek Watershed District (MCWD). The <br /> City will not issue a demolition permit without a copy of the permit(s) from the MCWD or <br /> dacumentation stating permit(s) are not required. <br />