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� <br /> � � <br /> f�/ `�0�`�`� City of Orono I Y SE ONLY <br /> � ��� P.O.Box 66 Date Received: �� Vermit# ��� <br /> � � �= 2750 Kelley Parkway (� <br /> C.� �}� � ` �' Crystal Bay,MN 55323 Amount $.__�_�__��_`�SAC Credit: ♦S o�'8, <br /> `�'o��rb sy to;� (952)249-4G00 � <br /> _ �'°'�`-`� Homeowner(s)Signed: ❑Yes <br /> Resolutions(if any)Signed:❑Yes ❑None Required <br /> Zonin r 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 /> ' � -t- i�. <br /> Site Address: lSex� Brac_�S ��+� <br /> Owner: 8�� ��-dd��-� Mailing Address: q� S h ad ��� �2�� <br /> City: �r�'"�v Zip: 553�� <br /> Home Phone: Alternate Phone: <br /> Contractor/Applicant Information: <br /> Contractor/App.: �h z�r(R 5 �vc�d � Contact Person: ��� � � � �esv� <br /> Address: ��S �a✓�-r 5���� S1'c `�`E�tate License#: �� � 3� `��� <br /> City: Z�/��s Zip: �S 4�S Expiration Date: �a"��` � °1iv� <br /> Phone: 4��2- 3°�y- �7:3�1 Alternate Phone: C� z— E7�'��3 Z� <br /> SPECIAL CONDITiONS &HOLD HARMLESS AGREEMENT <br /> Genera] 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# ���3�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 />