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� . . <br /> � `1,�``� City of Orono FOR CITY USE ONLY <br /> %' a`rO� P.O.Box 66 Date Recei�ed: Permit# <br /> � ,�„ ,, � 2750 Kelley Parkway <br /> «s� �11��;3.- !�� Crystal Bay,MN��3?3 Amount: $ SAC Credit � <br /> ����,(���/ (952)249-4600 <br /> z.f Homeowner(s)Signed: ❑Yes <br /> Resolutions(if any)Signed:❑Yes ❑None Required <br /> Zonin Disclosure Si ned: ❑Yes ❑None Re uired <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (All perinits must be approved by the Building Official and/or Zoning Department) <br /> �a�i Site/Owner Inforrnation: ����':�` �' <br /> Type: [�Residential ❑ Commercial <br /> Site Address: � 7L �� � f�e/ <br /> 1 ., <br /> Owner: ��!/r� Cll�1�6 �,-�� Mailing Address: i-S� � �,.�,,,� ��� <br /> . �... <br /> � <br /> City: � f Zip: - �..5 <br /> Home Phone: <br /> ��� ` ��� ` �l� � Alternate Phone: -�� � �~ <br /> Contraetor/Applicant Infornlation:- � � � <br /> Contractor/App.: ���! Contact Person: <br /> Address: State License #: <br /> City: Zip: Expiration Date: <br /> Phone: Alternate Phone: <br /> g �` � `� ' SPECIAL CONDITIONS & HQLD HARMLESS AGREEMENT <br /> General Instructions: <br /> 1. You may be required to obtain other permits, i.e.: well abandonment, sewer, etc. <br /> 2. Wark 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: �nual 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 as follows: <br /> 1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> complete. <br />