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g�`�\` City of Orono FO CITY U9E ONLY <br /> `r� P.O.Box 66 Date Received:/�� Pemiit# � -� 7� <br /> �� � �� 2750 Kelley Parkway <br /> • �� ��`� �,!:: 1��1 Cryscal Ba}�.MN 553'_3 Amount $�,,}� SAC Credit: <br /> ��'r�'I�as�G�� (9i2)2d9--1600 <br /> � Homeowner(s)Signed: [�]Yes � <br /> ��,��1 <br /> ��� Resolutions(if any)Signed:�Yes None Required <br /> Zonin>Disclosurc Si ned: ❑Yes ❑None Re uired <br /> �� � , o �o� <br /> CITY OF ORONO- DEMOLITION PERMIT <br /> (All permits must be approved by the Building Official and/or Zoning Department) <br /> 1ob Site/Owner Information: <br /> Type: '�Residential ❑ Commercial <br /> Site Address: �-��� �'"L�X �l <br /> ___.�.---�� / 1 <br /> Owner: �C�'/'�'� f�-� ���/ �� !. <br /> � Mailing Address: �� `� �x � <br /> City: �Y--���� Zip: � S � �� <br /> Home Phone: � ��� - / �� /d�z- Alternate Phone: �/ /' j�J � 13���/ <br /> Contractor/Applicant Infornlation: <br /> Contractor/App.: �� �� `�-�TL�.✓�1l' 7 Contact Person: <br /> Address: State License #: <br /> City: Zip: Expiration Date: <br /> Phone: Alternate Phone: <br /> SPECit�I.CONDYTTONS& HQ��HARMLESS AGREEMENT ��° , ��k����� `;t <br /> nww,.�.:w.. <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 befare 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/ar secured until such time as demolition is <br /> complete. <br />