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• ¢��` P O o�f Orono FO CI Y USE ONLY��r,D D �� <br /> � �Yo Date Received:� D D Pertnit# /f�KJ'Q <br /> 2750 Kelley Parkway <br /> ��� a��'� ���� Crystal Bay,MN 55323 Amount: $��SU SAC Credit: <br /> r �Y (952)249-4600 <br /> ��O¢'/ Homeowner(s)Signed: ❑Yes <br /> Resolutions(if any)Signed:0 Yes ❑None Required <br /> Zonin Disclosure Si ned: ❑Yes ❑None Re uired <br /> CITY OF ORONO-DEMOLITION PERMIT <br /> (All permits must be approved by the Building Ofticial and/or 7.oning Department) <br /> Job Site/Owner Information: <br /> Type: �Residential ❑ Commercial <br /> Site Address: J�)S ��'rv��t-�E <br /> Owner: .diM � �b �S'�►��/1 Mailing Address: I V <br /> City: (�d�1?-o�� Zip: SS.3�� <br /> Home Phone: -l�'��5�0��3 Alternate Phone: ��b2" 'p 6y"sso`� <br /> Contractor/Applicant Information: <br /> Contractor/App.: �D�vi-(:� t�T�w�1�+��t"c5,�4 Contact Person: l.7►ku�Q )�v���2 <br /> Address: l`1�35oZ Vl�.�.�n�Tor-�v����� State License#: o?ot ?�j'35�/ <br /> City: �E Zip: �Jr3`�� ExpirationDate: 0?017539y E�J. 3/�g <br /> Phone: 9`jo�-N��-o267`� Alternate Phone: (�ba- 7l'8-�L�! �GcG(� <br /> SPECIAL CONDITIONS & 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#��g�`� �q�''��- <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 />