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� � City of Orono Fox cr"�Y USE o�Lv <br /> � /`Q� �O',. P.O.Box 66 Date Received: /o�/O O�f Permit# 4�pCIK.DOo2 / <br /> ; 2750 Kelley Parkway <br /> ;a� ��'�� ��% Crystal Bay,MN 55323 Amount $ SAC Credir <br /> ` ��a`o, (952)249-4600 <br /> ��K°�`-� � Homeowner(s)Signed: �es <br /> Resolutions(ifany)Signed:�Yes �None Required <br /> Zonin Disclosure Si ned: ❑Yes ❑None Re uired <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (All pemiits must be approved by the Building Official and/or Zoning Department) <br /> �Job Site/Owner Information: <br /> Type: �Residential ❑ Commercial <br /> Site Address: �J`�`�� �`-'��-� <br /> Owner: r� ���� ; �,��/ ���Afi1 Mailing Address: 3�`-�(� �v I`�-��- <br /> City: (��o�lc� Zip: .�53� I <br /> Home Phone: � ��' 7/O- 9t�� Alternate Phone: <br /> Contractor/ApplicantxInformation: <br /> Contractor/App.: ����-��S C�,�D ���- Contact Person: �o,�� ,�-�a�u,.[ca� <br /> Address: /�v.sc� �3�'' /�r 1�� State License #: ;Zp l 3_:��{7� <br /> � <br /> City: #� �t�� Zip: 55�t�{j Expiration Date: 3 3� �� <br /> Phone: (�12- 35�1- i�v� Alternate Phone: 6 �Z - �9 v. `��� <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT; <br /> General Instructions: <br /> 1.You m ay be required to obtain other permits, i.e.: well abandonment, sewer, etc. <br /> 2.W ork 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.Sewe r 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 />