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�'�—���� City of Orono FOR CITY USE ONLY <br /> �¢���t, P.O.Box 66 Date Received: Permit# <br /> (���=1, �1� 2750 Kelley Parkway <br /> I , ^�'*..� �- � C stal Ba MN 55323 Amount: $ SAC Credit: <br /> �3 1 ' ' �'� rY' Y, <br /> ��?� �����% ',o ! 952 249-4600 <br /> , i �.v�,,; ( ) <br /> ���+'�x°�=' Homeowner(s)Signed: ❑Yes �� <br /> Resolutions(if any)Signed:❑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 Department) <br /> Job Site/Owner lnformation: <br /> Type: Q�Residential ❑ Commercial <br /> r � <br /> Site Address: 266o CkSca �oT„f i�.�, Z ���„to <br /> Owner: A � � �s _ Mailing Address: 213 w • 'Z3 �? st � SN <br /> City: �!`eu.) �/,c1t Z�p; 1001� <br /> Home Phone: ��Z- �11 I—��K Alternate Phone: G 1 Z- Z��- z G�o <br /> Contractor/Applicant Information: � <br /> Contractor/App.: 5'r��w°'1- . L�.` Contact Person: S�ta C��t'..�50�• <br /> Address: ���7 w� �L�f'r. g�✓� State License #: 2.E`�a►43t'S <br /> City; �4 Zip: S5`1� Expiration Date: 3,'��l2oflq <br /> Phone: qs2 ' '�q7' 'S51Q AlternatePhone: b�Z" �7"2��4 <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <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: ❑ Sewer Disconnection ❑ Well Abandonment# <br /> +t,,.,^l�,✓ <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 time as demolition is <br /> complete. <br />