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���,�2� c� rS _ ' 1 ```��, , �, <br /> � y�n i�-t -4 c l�c � S S �LCC� `)' `. �� - C�' <br /> �.� � �' ,��c f� e c( �-� ���f�'� �� '(s` <br /> I ��, <br /> City of Orono �� <br /> g O� P.O.Box G6 �� ;—� FOR�ITY USE ONLY <br /> Q � � Date Received: SJITln7 Permit# � pCj <br /> y,_�,,� 2750 Kelley Parkway � <br /> a ,��'�`3�,�'�. F Crystal Bay,MN 55323 �5l Amount: $��SAC Credit: es � ��l Y,/I'� <br /> �����p��y��o"' (952)249-4600 � Ja��7 <br /> ��eKO¢ Homeowner(s)Signed: Yes <br /> Resolutions if any)Signed:❑Yes one Required <br /> 7_onin � isclos e Si ed: ❑Yes ❑None Re uired <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (All permits must be approved by the Building Official and/or 7_oning Department) <br /> Job Site/ Owner Infornlation: —� <br /> Type: 0 Residential ❑ Coininercial <br /> ^._. <br /> Site Address: ! � ' � � ���� �c�c�� �� � (� ��/� <br /> 1 � f( � � 0�{S � ����-- <br /> Owner:�-�1���{� �2 (�V�� �t � �f)� S�'�� Mailing Address: I_� . � i:za L1 � �� <br /> � <br /> City: �n.1��,�2 c��. �� �� Zip: � S � T � <br /> r <br /> Home Phone: �'��� � �� �. `�l S Alteniate Phone: �'�S� � � � ��� U� <br /> Contractor/App�,icant I�iformation: <br /> ,, ,�Contractor/App.:�1U`,��`71t,1 1\�X�(,���" p�Contact Person: <br /> —`��e..� d—� � � � <br /> Address:�-- ��,X,) ������.��. State License #: � <br /> \ .�, 11 1 <br /> City: � `� % Zip: ��1 Expiration Date: ������ <br /> ( -, ,� �_ <br /> Phone: 0;���� �i�"'�, L�!� Alternate Phone: �,��, <br /> � <br /> SPECIAL CONDITIONS & HOLD HARIVILESS AGREEMENT <br /> General Instructions: <br /> 1. You may be required to obtain other pern7its, i.e.: ��vell abandonment, sewer, etc. <br /> 2. Work nnist 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 petmit is <br /> issued. <br /> Demolition by means of: ❑ Manual Disassetnbly ❑ Heavy Equipment ❑ Other <br /> Pernlit(s) Issued: ❑ Sewer Discoiuiection ❑ Well Abandonrrient # <br /> In i-eturn for issuance of said Demolition Peinlit, the undersigned owner hereby a,�rees as follows: <br /> l. Tlie struct�u-e(s) shall be 1<ept enclosed andioi- sec�u-ed until such tiine as demolition is <br /> complete. <br />