Laserfiche WebLink
. t <br /> ��/� � City of Orono FO CI USE ONLY <br /> ¢O� P.O.Box 66 Date Received: � /� Permit# O�j�—dU (O <br /> I� �, ; 11 2750 Kelley Parkway <br /> � + '� �-� k�� Crystal Bay,MN 55323 Amount: $� SAC Credit: <br /> ��� '�r4 xti��� (952)249-4600 <br /> ��a'eg°�� Homeowner(s)Signed: ❑Yes <br /> Resolutions(if any)Signed:0 Yes ❑None Required <br /> Zoning Disclosure Signed: ❑Yes ❑None Required <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (All permits must be approved by the Building Official and/or Zoning Department) <br /> Job Site/Owner Information: <br /> Type: ❑ Residential ❑ Commercial ��Sn���Na"�— <br /> Site Address: ���� �/���L.�-n►D <br /> Owner: G t� Q E " RdIJO Mailing Address: �0� I�t�)C � �o <br /> city: �.���(s�-�s,+�'��,� �� zip: S�3 2 3 <br /> Home Phone: 9�2-2�/��G�_� Alternate Phone: <br /> Contractor formation: <br /> Contractor/App.: N'l.liv��'N1cQ �OR�f7�l.� Contact Person: G/iBQ1�bt--.-�A�8o+•2 <br /> Da-E.�.('s!N � <br /> Address: �� (ftl . L�A-J��S� State License#: <br /> City: �G�ZSlb2 Zip: S�" 3 � Expiration Date: — <br /> Phone: �S2^ �(�I�{ - ��l�y Alternate Phone: �(2� Sq`�' ?l�'�� <br /> ��,�- c�e-�.c�� <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 /> ���1�'/ <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 andlor secured until such time as demolition is <br /> complete. <br />