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��� City of Orono I E ONL1' /�}/�Q Q <br /> O . O P.O.Box 66 Date Receive : � ermit#��✓ / �� <br /> �;� 2750 Kelley Parkway � <br /> � ���G r_ a Crystal Bay,MN 55323 Amount ��-/� SAC Cedit: <br /> �,��,����i}y�o� (952)249-4600 � <br /> �exoa <br /> Homeowner(s)Signed: ❑Yes <br /> Resolutions(if any)Signed:❑Yes ❑None Required <br /> Zonin Disclosure Si ed: ❑Yes ❑None Re uired <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (All permits must be approved by the Buildii�g Official and/or Zoning Department) <br /> Job Site/Owner Infornlation: <br /> Type: [�.Residential ❑ Commercial <br /> I <br /> Site Address: "'7�5� �J`�/�y� ���� <br /> Owner: �� �/��"��1 Mailin Address: � <br /> � <br /> City: Okti`!� Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor/Applicanf Information: <br /> ,� �--- , <br /> Contractor/App.: /�-��'w�/<-�� �/Z� ,�,��o5�'�Contact Person: /��,1�� ���✓L��s" S <br /> Address: ���� C!���Q Y��� I�� State License #: <br /> City: �IlOPE�.��Zip: / Expiration Date: <br /> Phone: �52 ���� ll�`� Alternate Phone: j-/2 ��� " S-�G=� <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 o£ ❑ 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 as follows: <br /> L The structure(s) shall be kepf enclosed and/or secured until such time as demolition is <br /> complete. <br />