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♦ 4 <br /> ¢0�` City of Orono FO CITY USE ONLY��`�� l <br /> ��.,,,,,<Y� 27050 KelleyParkway Date Received: �(J Permit# c�'�t._i��- �C� �GL J <br /> ��.`��;': � Crystal Bay,MN 55323 �� <br /> Amount: SAC Credit: <br /> �����`j��.$o (952)249-4600 <br /> �HO$ Homeowner(s)Signed: ❑Yes <br /> Resolutions(if�any)Signed:0 Yes ❑None Required <br /> Zonin Disclosure.Si ed: ❑Yes ❑None Re uired <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (All permits must be approved by the Building Officia]and/or Zoning Department) <br /> Job�Site i Owner Information:���� ` ����'�r.`� <br /> s <br /> Type: � Residential ❑ Commercial <br /> SitP Address� _'I�S �� �,,,.�_5 .�;.�� ���� -- <br /> Owner: ��� t�e �q�; S Mailing Address: /��� �-�c� / ���-s-� �o� � <br /> Clty: '��`tt�."�i �ar�c vl.� Zlp: < �/� O <br /> Home Phone: 3�c � y� z - Z r°� �� Alternate Phone: <br /> Cor�tractor/Applicant i�iformation�:�� �� -��' <br /> ���ft ,_�� <br /> , <br /> Contractor/App.: yti�,��Q�` (,=;�,.(�c.s CU��s � Contact Person: � n... C�� � s <br /> Address: �3�L c-� I.�..� .�4�.,--� StateLicense #: ao��i9SC <br /> City: `�.���, Zip: 55 3 �� Expiration Date: 3� 3 i- z c i Z <br /> Phone: C-�z-70�-`3�gb Alternate Phone: ��s 2 — `�'S'�-�7 S 3 <br /> �.�� �� �.,�;�. SPECIAL CONDITIU� ,�� , �� �LD HARMLESS AGREEMEN'����. ��,� ��:�`� _ <br /> General Ir.stnz�ti ons: <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 as follows: <br /> l. The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> complete. <br />