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¢�� City of Orono FO C Y USE ONLY / <br /> O O P.O.Box 66 Date Received:�o / Permit# ao`� ��02' <br /> ;�,x,�„ 2750 Iielley Parkway <br /> � j'�r71;�� � Crystal Bay.MIv�5323 Amount: ��� � SAC Credit: <br /> e,���'��.yc` (9�2)249-4600 <br /> ++�° Homeowner(s)Signed: ❑Yes <br /> Resolutions(if any)Signed: 0 Yes ❑None Required <br /> Zonin Disclosure Signed: ❑Yes ❑None Re uired <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (All permits must be approved by the Building Official and/or Zonin�Department) <br /> Job Site/���O�ner Information: � <br /> Type: � Residential ❑ Commercial <br /> Site Address: � �� �r�� / '��.1� ��l n <br /> 'n W(�Y1n' .c.urv► <br /> Owner: � �r 1 Mailing Address: <br /> City: ���Li,� Cr� Zip: <br /> Home Phone: Alternate Phone: �_�� �'�=tJI.J+ a� <br /> Contractor/Applicant Information: <br /> Contractor/App.:M ��e�} � �-�S��� Contact Person: �f�/� �r"2f�'r PL/f� <br /> Address: ����� Cl� I�c1�6 State License #: <br /> City: ��Al���-��►� Zip: S�3�j Expiration Date: <br /> Phone: ��v7- ���� � �� �7 Alternate Phone: �%��- %���- ��S �� <br /> `SPECI�I.. CONDITIONS.& HOLD aHAR1VILESS AGREEMENT <br /> General Instructions: <br /> 1. You mav be required to obtain other permits, i.e.: well abandonment, sewer, etc. <br /> 2. Work must not bebin unless the permit card is available on the job site. <br /> 3. A 24-48 hour notice is required far all inspections. Call (952) 249-4600. <br /> 4. Sewer must be discontinued at the City service by qualified contractor before demo permit is issued. <br /> Demolition by means of: ❑ Manual Disassembly ❑ Heavy Equipment � Other <br /> Permit(s) Issued: ❑ Sewer Disconnection ❑ Well Abandonment# <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees to: <br /> 1. Submit a survey, aerial photo or sketch showing all structures on the property. Note which <br /> structures are to be demolished. <br /> 2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in <br /> accordance with Chapter 79, Construction Site Runoff Control. <br /> 3. Submit a$2,000 escrow and an escrow agreement signed by the property owner. <br /> 4. Keep all structure(s) enclosed and/or secured until such time as demolition is complete. <br />