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1 <br /> f�����, City of Orono Fo 1TY usE on�[.v <br /> P.O.Box 66 Date Received: Pennit# �� �� <br /> !/Q � l 2750 Kelley Parkway <br /> ;a' � �� f Crystal Bay,MN 55323 y((�;� C�� �A�- <br /> �,`';� Amount_ $ ��„ ..7 SAC Credit: v$� <br /> ��'e �i� �.�.o,' (952)?49-4600 <br /> ' .�y��aa4'i� <br /> Homeowner(s)Signed: ❑Yes <br /> Resolutions(if any)Signed:❑Yes ❑None Required <br /> Zonine Disclosure Si ned: ❑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 Site/Owner Information: <br /> Type: ❑ Residential ❑ Commercial <br /> `� i n�± <br /> Site Address: ��5� �Yzc.t�-e- !r� rJo;►�it I` <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractox/Applicant Information: <br /> ��ar i ; <br /> Contractor/App.: �e 5 (.�.c�c� C�,r��2�Contact Person: ��� �� 1c'�S�� <br /> Address: 0�75 i�?��t �1: � �F4S State License#: o�vi 3 S 47� <br /> City: ���S . Zip: $��'� Expiration Date: �,``�� � °�'E' <br /> Phone: �'� 2' 3�i�- �7 3'? Alternate Phone: �i 2 ��`7c' `f�'70 <br /> SPECIAL CONDITIbNS & 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# o��`f.3�� <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 until such time as demolition is <br /> complete. <br />