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: <br /> "�""=r City of Orono <br /> �0�,� P.O.Box 66 FO I USE ONLY / <br /> Q (�} Date Received: Permit# / <br /> � ? 2750 Kelley Parkway <br /> '� �� �''._ �� Crystal Bay,MN»3�3 �/' <br /> \�� ���.� o; 952 �49-4600 Amount: $ ;,)v•� SAC Credit: <br /> �\�i,{���,� ( )- <br /> �-' Homeowner(s)Signed: ❑Yes ,�,� <br /> �Resolutions(if any)Sig�ed:�Yes �None Required <br /> Zonin Disclosurc Si ned: ❑Yes ❑None Re uired <br /> CiTY OF ORONO-DEMOLITION PERMIT <br /> (All permits must be approved by the Building Officiai and/or Zoning Department) <br /> K�� ,a'. t�::� �+ �� ��'�y *,�� <br /> �„�..awr. ��r,�� .�. � � ��° .�.;�'��. <br /> Type: Residential ❑ Commercial <br /> Site Address: �5�� Cl�43 C0 �p 1Y\�- <br /> � � ��,y � s���,�,v�� �;�� <br /> Owner: �v h � S+� �i.��h h �.. `����'�`�,' Mailing Address: <br /> City: �v u.v,� Zip: �.S 5� 5� <br /> Home Phone: �� �- 3 S 3 `� � '�u Alternate Phone: `7(0 � `�5'�_3 7 � �'b' <br /> Contractor i A licanY Tnforrn' �` ' " � <br /> pP � �° <br /> �,����» � <br /> ��,��..�?��a �� <br /> Contractor/App.: �I �v u � �.; �: r ����ntact Person: `J�f I N V��S r���1 <br /> Address: �°(�5 C�Cd PUI{�'I ���� State License#: <br /> City: (.�-'t�i Z�Tf�- /��'Zip: S 53�f� Expiration Date: )' "�� �—U 7 <br /> Phone: L¢'(2- �5� - "1 3����� Alternate Phone: �f� - .2� 5 J � `l Sv� <br /> � �`� SPECIAL CONDITIONS &HOLD HARi'�ZLESS AGREFMENT t <br /> ��. .�.z <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 available 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�SewerDisconnection ❑ (,uc�Cc,,• Dtsc�.v�hec�' <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as follows: <br /> 1. The structure(s) shall be kept enclosed and/or secured until such tin�e as demolition is <br /> complete. <br />