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� . � <br /> r�'�, City of Orono FOR TY USE ONt,Y .,/OD <br /> �Q. `rO� P.O.Box 66 Date Recoived:�� -'�Z'Permit# ao��� ��f�l <br /> / �; ;; �� 275Q Keliey Parkway <br /> �� � '�''. r�� Crystal Bay,MN 55323 Amount: $ SAC Ccadit: <br /> ��,��.,,;,,��%�y.�.-�a'�%' (952)249-46d0 <br /> �-�=-++�"'� Homeowoer(s)Signed: �'es <br /> Re.colutions(if any)Signed:LJ Yes�one Requirecl <br /> Zonin Disclosure Si ed: es ❑None R uir� � <br /> � <br /> CITY OF ORONO-DEMOLI�'ION PERMIT E:��..r� <br /> (All permits must bc approved by the Building Otlicial and/ar Zoning Deparhnent) � � �� � � <br /> � p�b Site��l Owner Infot-niation:� <br /> Type: �Residential ❑ Commercial <br /> Site Address: ���/� '�/"•��` ��I/• ���� <br /> Owner: � ' "r C��/y� Mailing Address: �m� <br /> City: Zip: <br /> Home Phane: ��Z'^ 7�r� ���9 Alternate Pl�one: <br /> . <br /> , �ntract��t:.����t��a���� ., '';, ��rl'��.1'11d(rC�S�11�.C�i4Y�• � <br /> Contractor/App.: ��i L,.Q i. �/1/(' Contact Person: ��� <br /> Address: + •�• �� ��v State License#: ,�C��� <br /> i ss3� EX ��3� ��� <br /> City: Q/'�K.�NS _ Zip: piratian Date: <br /> 'Phone: q��� g JC�� � /�/ Alternate Phone: �/ z' ���b ��G�'7� <br /> ----. <br /> �P�C�.��.�C31���T��1�[�:��(3��i�1���5°��R,��l�l�i��';; .._ .. ..-': ' <br /> General Instructions: <br /> 1. You inay be required to obtain other permils, i,e.: well abandonment,sewer, etc. <br /> 2. Work must not begin unless the permit card is availabie on the job site. <br /> 3. A 24-48 hour nofice is required for all inspections. Call (952) 249-4600. <br /> 4. Sewer must be discontinued at the City service by qualified can�ractor before demo pemlit is issued. <br /> Demolition by means of: ❑Manual Disassembiy ,�Heavy Equipment ❑ Other <br /> Permit(s} Issued: ❑ Sewer Discornlection ❑ Well AUa�ldomnent# <br /> In return for issuauce of said Demolition Permit, the undersigned owner hereby agrees to: <br /> 1. Submit a survey, aerial pholo or sketch showing all structures on the property. Note which <br /> structures are to be demolished. <br /> 2. Submit a survey, aerial photo or slcetch showing proposed erasion coiatrol ineasures in <br /> accozdance wilh Chapter 79, Construct,ion Site Runoff Cont.rol. <br /> 3. Submit a$2,000 escrow and an escrow agreement signed by the property owner. <br /> 4. Keep all structure{s) enclosed anc!/or secured untzl such time as demolition is complete. <br />