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Jun 27 14 09:41 a TaylorWest 6515288351 p.2 <br /> Jun 26 14 i028a Taylo�'�1'lest u�35288351 P 2 <br /> � � <br /> � � � <br /> � <br /> i��7���r Ciiy of Orono (�, E•�rz � istont� `�'��� C/ <br /> � T"- 'V� �.a.aox sc :�a�o ar:��Yl� / ��crt,-,�ce;oZD/Lf— J� <br /> % � 1 ?75[1 KeileyPark.vay <br /> ` Crysial Bay.AdN 5`_323 � Am�qnl: S� SAC Crenir <br /> � �� i (952;249-4630 —� _� <br /> �`� � h I /`1{3,� ' tfom:sswn_t{c)Si�;n;:d: ❑Yos <br /> ,��1,�. U�f t ji�SOli3ti0q5(IV'::n}')S1snCd 'res Q Nnuc R�r,aired <br /> �\I51i0`j 7..min�Disdoscrc Sr•utJ: Y�i ❑:donc R uirer! , <br /> � t�i��� r r�"�Y�— <br /> V <br /> c�-rv�� �R��o -a��o�iTro�v p�t��a-r <br /> �Alf pe�niLs mu�!br.approved 6y the Build'ing O�F�ciai andior?onng Gepar:menij <br /> ( Job�ife/ Owner Information: -----^1 <br /> Type: �Residentia9 ❑Commercia! <br /> site Address- O��Y1� 3`-�C�� �� r`��C-� ��(�1'117.�; l"I��IJ .� ���f <br /> �-•rr�rnCt�-�'!O CA-J o5`7 ��� �d� � <br /> Owner: f�i'I in r ��-�'iG /Fr%/�SG,�Nailing Rddress: �f f,��QC KL�C�tG� <br /> C�ry_ �c n��_ z�P: �s�3 r <br /> Phon�:������i"7� "`,-�-y�D� Email: b�L�.��� �.1,-'�'d1 -�� C{yJ <br /> Cantractor 1�lpplicant irformation: J <br /> Contractnr/App :���f ���� �L� ContactPerson: ��S$�"1L��'`� <br /> �ddress: � (�• LY>� � �� D St�te License#: <br /> City: (�1'tG��. �I't'1C� Zip: � )�'�" Expirati�n Date: <br /> Phone: Cf�1�� _�y,��f 3�. Ernail: ri�1StT�L� OtL'�5�"�'''�' � C6�'�� <br /> �'_ -`__ _ _� <br /> SPEClAL�QNDITI4NS & HOLD HARMLESS AGREE�VIEt�T _ __ <br /> Ge r�e ral Inst�uctians: <br /> 9_ You may ne required to abtain other permits, i.e.:evell abando /^ ,- '_ � ,�.rr ��t�� <br /> 2. UL'ork m�st npt begin unl�ss the oermil card is ava�labJe On thE �.nw� (� <br /> 3. A 2448 hournotice is required for a!I inspections. Cati (952): <br /> 4. Sewer must be d�scontinued at ihe City senrice b}� quaEifiEd co ��Z, 2�� q333 (,G) <br /> issued. <br /> Dernolition by means of_ ❑ 1Uanual Disassembiy �Neavy Equiprn <br /> PeYmit(s) fssuP.d.- ❑ 5ewer Disconnection ❑WeH Abandonment# <br /> !n return�far issuance of said Demolition Pertnit, the untfersign�d <br /> 1. Submit a suruey, aerial pho�o or ske#c� shawing all structu� <br /> str�ciures a�e to he demofished_ <br /> 2. Subrnii a survey, aeriaf phoio or sketch showing prop�s� <br /> accordance with Chapter 79, Construcfion Site Runoff�r,nfr•ol. <br /> 3, Submit a capy of�errrrit approval frorrE th� M=nnehaha �reek � <br /> City v��tl no# issue a demolition permit without a copy of tF <br /> documen�tian stating permit(s)are not r�quired, <br />