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��'`�""-, City of Orono <br /> ;/�.ol�r �, (`.ptni� FOR ciTv usr;o�vi.v <br /> P.O.Box 66 <br /> > [1a�e Received: <br /> �(� � � Permit# <br /> �� +� � 2750 Kelley Parkway e <br /> �� ���� �. r�r Crystal Bay_MN 55323 Amount: $� SAC Credit�`> <br /> h�f ,.�r.4Gr<` (952)249-4600 / <br /> ����`� Homeowner(s)Signed: ❑Yes (� � ��r��} ' //�'�/�� <br /> Resolutions(if any)Signed:�Yes ❑None Required <br /> 'Lonin Disclosure Si ned: ❑Yes ❑None Re uired <br /> CITY OF ORONO-DEMOLITION PERMIT <br /> (All permits must be approved b}�the F3uilding Ofiicial and/or Zoning Department) <br /> � Job�Site/Own�r Ir�foc��►ation: � <br /> Type: � Residential ❑ Commercial <br /> Site Address: � 5�1 � �'=3t�iAi.S r i r� �. o Ro�..�o ►+ti►J <br /> Owner: �h?�K�.f }}n►�oQ�'r�.1 MailingAddress: 11�45 �o�Ni PT R:s <br /> City: b a o N o Zip: 5S3o5 <br /> Home Phone: `152� �{'il- 91�19 Alternate Phone: (� 1 Z- 3 S 5- �ZZ $ <br /> Contractt�r! '� �: �� ���`� <br /> ,..., .�. ,. .. �.,. <br /> :� <br /> Contractor/App.: '(�o��2T C'eA��,Mts Contact Person: �D3 <br /> Address: 4b4 2ND s-�- dkiot State License#: 8$4l. <br /> City: Exc€c,si02 Zip: 5533� Expiration Date: Y►Ahec� og <br /> Phone: `�52- �}t o- lP[r 3 9 Alternate Phone: �12- (o oo- 7 l�3 <br /> � � ,��T�CUN�i�'��N�+�e�C�LI)H�RMLE�S'AGREEMENT <br /> General Instructions: <br /> I. 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: Q Sewer Disconnection ❑ Well Abandonment# <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 untif such time as demolition is <br /> complete. <br />