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� ��� /� ����/ <br /> �� �-�.a� - ��..��� <br /> ¢�� City of Orono F C �+IiSE ONL <br /> � � P.O.Box 66 Date Received: D �0 Permit � ��� <br /> 2750 Kelley Pazkway <br /> � " � Crystal Bay,MN 55323 Amount: $��5� SAC Credit: <br /> �t� '�` '. .�c` (952)249-4600 <br /> �°"�O� Homeowner(s)Signed: ❑Yes <br /> Resolutions(if any)Signed:�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 Official and/or Zoning Department) <br /> Job Site/Owner Information: <br /> Type: �'Residential ❑ Commercial <br /> Site Address: � `�L 3" ��'�c S"tr r r f <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor/Applicant Information: <br /> �'<r-id� �� ��.�c� <br /> Contractor/App.: l�r��� f� Exc� �K f�nry, (t c Contact Person: ��+% + '" v�` r��* <br /> Address: ���f ��'�� ��'����-���A��! State License#: <br /> City: C�-��� ��' / Zip: �s`'� � Expiration Date: <br /> Phone: 7� '-- 5�•�r-- �s-i- 7 Alternate Phone: ��.��� �� ii- �' �J- �� '-- 7 �''' <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 /> 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 />