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� � <br /> , • � <br /> . <br /> ��C� � �8� <br /> '���'� City of Orono FOR CITY L1SE ONLY <br /> � ���� \, P.O.Box 66 Date Received: ' '�� Permit# aC� �� �� � <br /> 0 '� 2750 Kelley Parkway � <br /> Crystal Bay,MN 55323 Amount: $��Di SACCredit: <br /> � (952)249-4600 <br /> � � > <br /> Homeowner(s)Signed: ❑Yes <br /> ,\ �%� Resolutions(ifany)Signed:Q Yes ❑None Required <br /> �7�f�t{���� ; Zonin Disclosure Si ned: ❑Yes ❑None Re uired <br /> - ��C ►�� -�1C�7 ����;f�� <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 /> Site Address: ��� � � 1 �L�`'� ���� <br /> �t� /� � l�� <br /> Owner. �C"�`i�J �yG�V`-- Mailing Address: �J-��1..� � <br /> City: Zip: �r��� �fV ��J� <br /> Home Phone: Alternate Phone: <br /> Contractor/Applicant Information: <br /> � �^ (��Z_ <br /> Contractor/App.: � ����-t�-�tk'� �.— Contact Person: � <br /> �- " ` <br /> Address: ,�.-�L� c��!�� � State License#: �� ��� <br /> City: C/�'7'� Zip: v���� Expiration Date: � �-� `� �'� � <br /> Phone: Ci����'��� �j� Alternate Phone: <br /> SPECIAL CONDITIONS 8� 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# <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 Chapter 79, Construction Site Runoff Control. <br /> 3. Submit a $2,500 escrow and an escrow agreement signed by the property owner. <br /> 4. Keep all structure(s) enclosed and/or secured until such time as demolition is complete. <br />