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<br /> �`"� City of Oro�o r______..._._. �:,��r,ri'�'i:sE o�i,'t'--_.. ._..___� „ /
<br /> �� �-�,�j�-�y � P.O.8c�x 88 j E3xt�•Stzti�cive<i' -- — Ya��uit t� �LZL�1_..�����
<br /> '� V \ 275`J}461t�y P�rk,itay ; - '
<br /> ; �, Crys>a!E3tt}�,hth��3:'3 s Anu,uitc S.���.�f,Crcclit; _
<br /> ! i9�2124fis-��+�iC ! _ _ �
<br /> �e .� � a. � 3 t�I��at3e nst}�ta)Si�'u;.;�: �I'cd
<br /> ;i . = f" j - � , ,
<br /> �. ti ' � Resc�Jtat;�m�tsf�s}•J Si�;nrd.CI Y� Cl���r c R y `t� �.
<br /> '\�,� b t�`1 � �c:as�;�L'�stieteisur�Si�n�.W�Ye� �;vatEe Ree���,:c<! !
<br /> � ��4„��;,. C� 4�3 '
<br /> ,�-�----' ��;-�tnN �„'d
<br /> CITY {3F �?Rt1Nf� - Cl�M4�iTtt3N PERNtIT
<br /> (Aif�ec�ni6s must b�a�rt�ved by fr�e Buif�;.n,Q�€u;iUt��sCilor 2aniz���e�rartrneni5
<br /> �J� °b�Site I L'�vs�ner lrifi�rm�t��n __.�«�—s
<br /> Type: �Residentia( � Commercial
<br /> StiE {�C1;j�'SS: .��{',� l �.-�tt%f_'3_..���1I�
<br /> O�uner: �v�1�.5 a„r� �n,. � � P�l�i6it�g Addr�ss: ��L( C�P r r� ���
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<br /> ct��: � o�,�b zf�,: s"S3G L!
<br /> ��ane: 7�3— 5�4� — �1 qy �J �m���: c-�,oL+,a , e� � /u.no� � ti w►a�l , c.b�
<br /> i C�nfr�ctor I ApPlieani �r�fQrmat+r�r�: �
<br /> Contracto�lAp�.:l�t���� r��,5��,::.��•. �;.i's�. Cor�i,��t}��rsan: ,�t�i��' <;,Y� ���
<br /> Address: ��� ��5.'�,.' .�:� ;�-,
<br /> i,�'�:� Sta#e Lie�nse#: ����
<br /> Ci �� l,�'���" Zip� ����'� Ex�air�tson �at�: t��� ��''���
<br /> �� ����'t��2" �6�t` �inail; r�uE���.'.�'����v',;,ti��c.e���fi���rL��'`�
<br /> Phone: -- -- - -
<br /> _,�...________.._ ____ __.._ ._____ ,.._.. �__..
<br /> � SF!EElJ�� CC`1ND�T'Lt�NS�&mi�C��C? HAR�kt�LESS A{���E1X�E�1T _4� 1
<br /> �...�...� _ _ o_._._._.�
<br /> Generai insttu�t�o+3s:
<br /> '(. �ou may be requir�d#o t��i.�sr nth�r{�ermits, i.e.:iveil abandonr��€�t, sewer, �Ec.
<br /> 2. V�lprk n�usi nat begin unte5s the permit carti is availabie on th�joa sit�.
<br /> 3, A 2�#-48 hour notice is rec�uir�c!fc�r all ;n�peciio�s. Ca1{ (�52} ��9-4�t�fl.
<br /> �. Sewer must b�discontir�ue� ��th�Cit}f service b}�qualifi�d cantractor before dema permit is
<br /> issued.
<br /> F
<br /> Derno{iiion by means c�f: [,� M�rs;���€ �Jisassembly �t��a�y Equi�rrs�nt � t�4h�r
<br /> Perrnit(s� issued: {�Sev��r aisc�,r����cfion �b'�ell Ak�aricionment#
<br /> In return far is�suance of said Qeinolition Permit, the unclersic�ned ow�er h�reby agrees to:
<br /> 1. Subrnit a survey, aeria! ph�lt3 �r sk�tcF� s3�o�sir�rg �19 siructures on th� �roperty. I4nt� Y��r�h
<br /> sFrueCttres ar��to #�e dsrn��i�f��c�.
<br /> 2. Submit a sur�rey, aeria{ p6�o�o tsr sketCt� 5ho�vin� proposed erosit�r� ct�ntro! m��sur�s i^
<br /> accordance with Ctra�rfer I�. �c�nstructi�n Site Runoff Controt.
<br /> 3, aui7�r�it a cvpy ofi pc;rmit a��`�rc�s�al irr�m�th� ivlirnehr�t�a Cr�e{s Vstatcrsi��d Di;�triet (MCR�IrD). �'f�o �
<br /> Cl�� bVtl� t1C�I ISSU£.' 8 C:P,t71�.��E�IQEI E3�i"1'T1i� �l�:�lC}E1� i'3 CO{3jf 0� �P18 '�]£3filTlt�S� �COt71 ��'18 NiC�1J� OI' •
<br /> �iocum�niatinn stati�g perrnit�sj�rc not requir�c�,
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