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r <br /> /%¢�\�� City of Orono FOR CITY USE ONLY <br /> a`r P.O.Box 66 Date Received: Permit# <br /> �`�,O�t �� 2750 Kelley Parkway <br /> �4 r�� � Crystal Bay,MN 55323 <br /> � y�� �` �� Amount: $ SAC Credit: <br /> ����,,����a� (952)249-4600 <br /> — Homeowner(s)Signed: ❑Yes <br /> Resolutions(if any)Signed:0 Yes ❑None Required <br /> Zonin�Disclosure Si ned: ❑Yes ❑None Re uired <br /> CITY OF ORONO- DEMOLITION PERMIT <br /> (All permits must be approved by the Building Official and/or Zoning Deparhnent) <br /> ������ � � f a <br /> � . , 1����7�;a ,' <br /> Type: Residential ❑ Commercial <br /> Site Address: 2�2.� CI�SC c; (�oiv��- 2or� <br /> Owner: ToY►'1 �- f A{�� ��v�j/��pr�� Mailing Address: S �`f G ��N �T. ,�,` <br /> ' �'�1 u)v�6�c� �' �Ic�Il 5 � �'✓1/1/ <br /> City: Zip: �.�y:; I <br /> "r,r'�,,� :..i �a 1.'1-;.2 b 7—..1/�7 � <br /> Home Phone: Alternate Phone: ;�i ;�.t;,' �!�-�c�r -v y�� <br /> Contractor 1 t�pplicant Information: � <br /> ` .� � , - . , <br /> Contractor/App.: �-� 1 /��' ��'��� �����ontac Per�on: <br /> Address: State License #: <br /> City: Zip: Expiration Date: <br /> Phone: Alternate Phone: <br /> �PE����������" ,`�' ,;`�'OLD HARMLESS AGREEMENT <br /> General Instructions: <br /> 1. You may be required to obtain other permits, i.e.: well abandonment, sewer, etc. <br /> 2. Wark 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• Sewer Disconnection ❑ Well Abandonment# <br /> 1�--- � <br /> �I ' `� (r'�g In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as follows: <br /> 1� r <br /> � \ \ L The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> \/��� (�'�� complete. <br /> 'LI ' <br /> C <br />