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�O�T City of Orono Fo ci 1�usE orrL�' � <br /> 1 y P.O. Box 66 Date Received: ` Permit# � <br /> � 2750 Kelley Parkway <br /> Crystal Bay, MN 55323 Amount: $� SAC Credit: <br /> (952)249-4600 <br /> '� ti Homeowner(s)Signed: ❑Yes <br /> yF � <br /> �, Resolutions(if any)Signed: ❑Yes ❑None Required <br /> `q/�ES H�4� Zoning 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 information: <br /> Type: Residential ❑ Commercial <br /> Site Address: ✓ 7J`� �c4'�NS� !�,(✓�--s ��x'`�� <br /> Owner: Mailing Address: <br /> City: ��,�n/� Zip: <br /> Phone: Email: <br /> Contractor/Appticant Information: <br /> Contractor/App.: ���'i1�5 �"xC Contact Person: ��G�G�� <br /> } T� �, � <br /> Address: ��L'� �/ ��o -s� State License #: �� � <br /> City: �Z�' ��/�� Zip: ��-S�l�Expiration Date: �7 �:� � v�D(O <br /> Phone: / 5� "� �� �� �7 EmaiL �it/c�����S E; ,� c�«,�i ��q _C E>^'� <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# <br /> ! `-' <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 copy of permit approval from the Minnehaha Creek Watershed District (MCWD). The <br /> City will not issue a demolition permit without a copy of the permit(s) from the MCWD or <br /> documentation stating permit(s) are not required. <br />