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16/29/2011 01:58 9524476169 PAGE 61/02
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<br /> $q City o�Orono
<br /> � P.U,Box 66 <'. . :; .,:,;. ,;:�? ...0 . 5�TTS�;UNLY :::: � :.: .... p,
<br /> 0`:. Q �3te'k�CelYFd::". I�etitiit�#;��. O �
<br /> 1+Q. 2750 ICelley Aazkway
<br /> �', Crystal�ay>MN55323 AinoUnt:,'.: '$.`.: � `SP��CRe.., ,- -:,.,.
<br /> ���.��. (952}2a9-4600 �k��_ .
<br /> � `Honteownes(s).Sign,ed;:':' ;d:Yes`:':.',.-,,,
<br /> �12esolutions(z;fanY);Signod;G]�:Xes:O,None:,�eq�ited�:
<br /> Zonin`;Aisoiosure Si 'ed�. ; es::'p,Norie.R `aired.;
<br /> CITY OF ORONO-DEMOLITION PERMIT
<br /> (All permirs Inusi be approved by the Building Offic�al and/or Zoning pepart�ment)
<br /> ,��'J�4-0NL7.7.��,,�;1y,:�� � �.'l,';I 'y �y�,{'�{�a,"Y<s':i�1`��1�h��g'rrf+�"";�I�I�4�r;b,rla;�lr'r:'Y/��::r
<br /> i�ps�,c,G,,:'1. '. �r. .,���,caw.::��• �.�'^"'"''9, .�i '�' 'Wp�;7�wR��"i�l�,�1�:I, ��� �..� ti�;
<br /> ��.�'�,i/¢n�70 '�;i'/`�'+,
<br /> Ty�e: �Residential ❑ Comac�,e,rcial
<br /> Site,A,ddcess: �l � �� �� �.�' 11f/l.
<br /> Owner: � '� �� ��p��(%`�U` �('l
<br /> �— Mailing Addzess:
<br /> City: ��`� Zip: S �� �� , .
<br /> I�oz�,e Phone: Alternaate Phone: 2� � 7JZ z.,
<br /> ���i't�`a��x;�k:��P�Pl7�car��-�In�t���ra�?�¢' ;''f %
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<br /> Conbractor/A��.: � C ►1/��j Contact�'exson: � �� �n/�,
<br /> I � �� �1 S — c�
<br /> ,A.ddress: S� State License#: �✓�
<br /> City: �r � zi�: '�� ��piration Date:
<br /> k�hone: �J C.—'�1��r ��3 � Alternate Phone: ��� ���Z � � � J y
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<br /> General Zr�structions:
<br /> l. You z�aay be requized to obtain otk�er�ermits, x.e_: well abat�do�z�nent, sewer, etc.
<br /> 2. Wox�C znust not begiz�unless tlae�ermit card is availab�e oz�the job site.
<br /> 3. A 24-48 k�our notice is required�ox a11 inspec�ions. Ca��(952) 249-4600.
<br /> 4. Sewer must be discontinued at the City sezvice by�ua��fed contractor be£ore demo peza�z�it is issued.
<br /> Der�o�atxon by me�s of: Q Max�ua.l Disassembly�Ieavy�qui�mcnt ❑ Otla.e�r
<br /> Permit(s)�Ssued: ❑ Sewer Discor�z�ection ❑ Wea�,A,bandonmez�t# V ��\ �\ 1 ��
<br /> Yn returu fo�issuance o�'said bemolit�on Permit,the undersigned owner hereby agrees to:
<br /> �_ Submit a su�rvey, aerial p�Zoto or sketck� showing al� sttuctures on t�e p�roperty. Note whick�
<br /> siructures are to be demolished.
<br /> 2. Su6m.it a survey, aezial �photo or sketch st�owi,�g proposed e�rosion control rneasures in
<br /> accordax�ce with Chapter 79, Constructfon Site Runoff Control.
<br /> 3. Submit a$2,000 escrow and an escxow agreemer�t s�gz►ed by the pxoperty owner.
<br /> 4. Keep all structuxe(s) enc�osed and/or secured untiI suc1�titx�e as demolataoz� as com��ete.
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