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C�,� � �� 3.�s <br /> ��O�'�� City of Orono OR CITY USE ONLY — p� <br /> /�I P.O.Box 66 Date Received�� Permit# O� <br /> / � \` 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Amount: $130,°° SAC Credit: <br /> � �, � (952)249-4600 <br /> � <br /> > �, , <br /> � Homeowner(s)Signed: ❑Yes <br /> \\ � Resolutions(if any)Signed: ❑Yes ❑None Required <br /> �q�f S t�p�� Zonin Disclosure Si ed: ❑Yes ❑None Re uired <br /> _,.._ __ ..— <br /> 5c9red���dakQ esctov� r<<� <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 /> � 2yS� ��� �� <br /> Site Address: �3�y ` <br /> Owner: ��J �u ����/� Mailing Address: S� <br /> City: ��'1 l� Zip: <br /> Phone: Email: <br /> Contractor/Applicant Information: <br /> �Etz. �' c,u I� � <br /> Contractor/App.: �� Contact Person: � �''l � Z-- <br /> Address: �� �l�.��V��-�-a� �� State License#: � ����� <br /> City: � L-►4l���`"'Zip: �5.�'�� Expiration Date: �"�� ,� � ! �'�� <br /> Phone: ,�/� -aZ/-���� Email: <br /> SPECIAL CONDITIONS � 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# ��'}'1 � <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 Chapfer 79, Construction Site Runoff Confrol. <br /> 3. Submit a copy of permit approval from the Minnehaha Creek Watershed District (MCWD). The <br /> City will not issue a demolition permit without a copy of the permit(s) from the MCWD or <br /> documentation stating permit(s) are not required. <br /> �v`-c.wl ��►`l� 1 � v�-� IT ��w�T <br /> � <br />