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,�O A T City of Orono oxL <br /> 1 V P.O. Box 66 Date Received�� � ermit��� � <br /> � 2750 Kelley Parkway <br /> Crystal Bay, MN 55323 Amount: $ �, � SAC Credit: <br /> (952)249-4600 <br /> � <br /> d�, �� Homeowner(s)Signed: ❑Yes <br /> < <+ Resolutions(if eny)Signed:�Yes <br /> qxFSH��� Zonin Disclosure Si ed: �None Required <br /> ❑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.Si#e / Owner Infocmation: <br /> Type: [�Residential ❑ Commerciai <br /> Site Address: /y�0 �iK,Gvvy ��ac� �rOwo� I"�J�/ s"S3�o� <br /> /,�.. ..� J <br /> Owner: �,;K � /tr�t a /e✓�cvso�Mailing Address: _�y�� ��ry �`�►K�Koi <br /> /'�l 553l0� <br /> city: O�o�.o z�p� s�3toy <br /> Phone: 9?2 -l039 -Go,S3 Email: �GV�µ��wsou Q��o.�l co+�c <br /> C�ntractor l_Applicant tn#ormation: <br /> ContractoNA ' ��+�ti woo� L�.G "` ���/�s` <br /> PP��- , Contact Person: �a-ror. . <br /> Address: �3 �_ 5���_�Sf State License#: <br /> City: �W�Z�-� Zip; �3 g� Expiration Date: <br /> Phone: G/2-YD/-35�,/$ � '/ <br /> Email: _ �s.toti. � dTa�.cr,�•000l, �w�- <br /> ;SP:EiC.li4L ��.ND1T10'�� � Y#�L�#H�►��lLfS�S�►�i�EEME�IsiIT <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 /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees to: <br /> 1. Submit a survey, aerial photo or sketch showing all structures on the property. Note which <br /> structures are to be demolished. <br /> 2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in <br /> accordance with Chapter 79, Construction Site Runoff Control. <br /> 3. Submit a copy of permit approval 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 /> documentation stating permit(s) are not required. <br />