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. . c��'.� <br /> `�'ZZ � <br /> ,..,��� City of Orono FOR ' �'IiSE OhLy. <br /> � `:• P O [30��v6 <br /> DateReceived: �' Pennit# �Q(?�� ��OZ <br /> ��a ��� 27�0 Kelley 1 �rk��a�' <br /> .� �y° � ��� a�r Crvstal Bn� �1�����3 Amount: $ �y � SAC Credit� <br /> a;� <br /> ��`c���d'.a¢o'';�� (9>�)�1���hri�i � (� 13�Icl`� <br /> ��0:% Homeow�ier(s)Signed: ❑Yes ��c'� � <br /> Resolutions(ifan��)Signed:�Yes ❑None Required <br /> 7_onine Disclosure Si ned: ❑Yes None Rec uired <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (AII permits must be appro�-cd by the[3uilding 011�icial and/or Zoning Department) <br /> Job Site /O�uner Information: <br /> Type: � Residential � Commercial <br /> Site Address: ��� � ���ti � �c��ti�� <br /> Owner. ,T, w� A%r..e;�c_ Mailing Address: y�G.,�-1��,�� ���_.�� <br /> City: �1 rc�r� a , /��n Zip: <br /> Home Phone: ZS.�- ��� ' -3�= � � Alternate Phone: )�a- �`��- ! 7`� ' <br /> Contractor/Ap�licant Informatioir. � <br /> ) 9 �/ <br /> Contractor/App.: �,��r � Contact Person: ��/c.�<<�t 7�� ✓ (a `'1 <br /> �J <br /> Address: �4/OQJ (,�C:�� ���e.-< State License#: � <br /> City: ✓� Zip: 5�S �7 Expiration Date: <br /> Phone: ��-3 �� ��--8 ' ��`-1� Alternate Phone: <br /> SPECIAL CONDITIO�VS & 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 bebin 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 discontin�ied 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: ❑ Se�ver Disconnection � Well Abandonment# �,�ti� <- ��J��� <br /> In ret�irn for issuance of said Demolition Permit, the undersigned owner hereby agrees as follows: <br /> I. The structure(s) shall be kept enclosed and/or secured until such ti►ne as demolition is <br /> complete. <br /> / [ �N '��u f�c v'�5 <br /> � �� v�av�t� 7u� h`� � ( <br /> �t,C.,J t��'� LnJ K�F_ ��� 5 <br /> ���k L�--�� ���a.-��{`f -J`f`�`�f <br /> �.��y,((.�.w,.►.- <br />