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� <br /> ��¢0��`� City of Orono FOR CITY USE O�LY <br /> `Y P.O.Box 66 Date Received: Pennit# <br /> ii�u �j 2750 Kelley Park�vay n� <br /> �� ��i�'�v ►y� Crystal Bay,MN 55323 Amount $ SAC Credit '� V � <br /> ��a�,��� .��.o� (952)249-4600 <br /> \�Oa�� Homeowner(s)Signed: ❑Yes <br /> Resolutions(if any)Signed:❑Yes ❑None Required <br /> Zoning Disclosure Signed: ❑Yes ❑None Required <br /> CITY OF ORONO -DEMOLITION PERMIT <br /> (All pennits must be approved by[he Building Ofticial and/or Zoning Depariment) <br /> Job Site/Owner Tnformation: <br /> Type: [�Residential � Commercial <br /> Site Address: �� ���1 t /'�,J f �/���� 0�V� <br /> , � <br /> Owner: �j��,v�� ( �C��).f�����-��/ Mailing Address: � ���'� �� <br /> _� <br /> City: � �G l�Vl L� Zip: S S � � � <br /> �. _ .. l L , ,l � ' �� / � <br /> Home Phone: � ��' �'� � � � J � Alternate Phone: �C� �,� L� ��-' ��� <br /> Contractor/Applicant Information: <br /> ,� <br /> Contractor/App.: �p j � Contact Person: �, � � r' <br /> Address: State License#: <br /> City: Zip: Expiration Date: <br /> Phone: Alternate Phone: <br /> SPECIAL Ct?NDITII7NS &I�QLD HARMLESS AGREElV1ENT <br /> G eneral 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 ther ��3D�CC� � ) <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 /> 1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> complete. <br />