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.� n <br /> /�""��\ City of Orono FOR CITY USE ONLY <br /> ���� �� P.O.Box 66 Date Received: Permit# <br /> atc 1 2750 Kelley Parkway <br /> � �4i�;�. �' Crystal Bay,MN 5�323 Amount: $ SAC Credit: <br /> w�k.t�;,��>�'�/� (952)249-4600 <br /> ��"_`—xd�"j 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 permits must be approved by the Building Official and/or Zoning Department) <br /> Job Site/Owner Infd�nation:��_� "'�� � ���� <br /> Type: ❑ Residential ❑ Commercial <br /> Site Address: / y 5 re�'►� G�Q (� �G.c� GeJa�� L�. �� <br /> Owner: i'YI �l�c F��v Mailing Address: <br /> City: �c��G Ze�f� Zip: <br /> Home Phone: �j�� —�]4� � 7,,Z� / Alternate Phone: <br /> Contractor/�Appl�icant Inforn�ation: <br /> Contractor/App.: ��z�i�- 1,��(v�.0 Contact Person: <br /> Address: � �/�S C;./o v� ��4 State License #: <br /> City: t L k�� Zip: ���:L� Expiration Date: <br /> Phone: �.S ,,z - st 9;� - o GS 3 Alternate Phone: <br /> SPECIAL CONDITTONS& 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 as follows: <br /> 1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> complete. <br />