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,j��� City of Orono c r��<<SF:on�►.v / <br /> / �ON �', P.O.Box 66 Datc Rccciocd:� � Pcrmi[ll �� l':�� <br /> � 0 ��, 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Amount: $ /�'�SAC Credit <br /> �� (952)249-4600 <br /> �r\1 ,� I lomco�cncr(s)Signcd: ❑Ycs <br /> � F'�� (,� Rcsolutions(it unv)Signed:0 Ycs ❑None Required <br /> ''��FS��p�/ l.onine Uisclosurc Si ned: Ycs Nonc Rc�uircd <br /> ,_� <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (All permits must be approved by the Building Official andJor Zoning Department) <br /> Job Site/ Owner Infarmation: <br /> Type: � Residential ❑ Commercial <br /> Site Address: 3960 Bayside Rd <br /> Owner: Christopher& Katie Loveless Mailing Address: 3960 Bayside Rd <br /> City: Maple Plain Zip: 55359 <br /> Phone: Email: <br /> Contractor/Applicant Information: <br /> Kothrade Sewer, Water& Excavating <br /> Contractor/App.: Contact Person: Pam Kothrade <br /> Address: 12059 Whitetail �n State License#: <br /> City: Hanover Zip: 55341 Expiration Date: <br /> Phone: 763.498.8702 Email: PamK@Kothrade.com <br /> SPECIAL CONLIITIONS & HOLD HARMLESS AGREEMENT �—� <br /> General Instructions: <br /> 1. You may be required to obtain other permits, i.e.:weli 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 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 structures are <br /> to be demolished. <br /> 2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in accordance with <br /> Chapfer 79, Constructio,n Site Runoff Control. <br /> 3. Submit a copy of permit approval from the Minnehaha Creek Watershed District (MCWD). The City will <br /> not issue a demolition permit without a copy of the permit(s) from the MCWD or documentation stating <br /> permit(s)are not required. � <br /> Form Last Updated: Jufy 2015 I� I( 1 I <br /> uo7sa <br />