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, � � l��i`� <br />, , . , L�M' <br /> '� Cit of OrOno <br /> /�O�\ Y FOR CIT USE ONLY 0�� -� , <br /> � O P.O.Box 66 Date Received�� Pemiit#� <br /> � � 2750 Kelley Parkway <br /> Crystal Bay, MN 55323 Amouut: $ d,� SAC Crcdit: <br /> � (952)249-4600 <br /> � �-� Homeowner(s)Signed: ❑Yes <br /> � h <br /> 'F �,� i Resolutions(if any)Signed:❑Yes ❑None Required <br /> \q/��S H���ti� Zoning Disclosure Signed: ❑Yes ❑None Re uired <br /> ,._..___� 1 I�,�4' <br /> �� � <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� 4'L-`� IL � L.l�� ,��L(�/�,((f� �_. <br /> Owner: .� S� Lt_,'711.1�� �CZLI�j MailingAddress: � �� (�j ��� ��(,_; � <br /> city: �1 v t�t�`.��r��-� z�p: `�SLlLlP7 <br /> Phone: Email: <br /> Contractor/Applicant Information: <br /> Contractor/App.: I�L��11i1t� �- �c"_vaVb-1"r" ift�'�j Contact Person: �"I'�((=. �(,�.L�1�a. <br /> J <br /> Address: ��I l L� !"i�� I�C I L � State License#: <br /> City: � I�,�C i� Zip: `���,(��'� Expiration Date: <br /> C, <� T\ ,� <br /> Phone: �� ��.l �,-��5 " �11Z. Email: �ri��/1_�d���,L����r5�- �r��°�ir���k..��. 1�.-�f <br /> � � � �� � ,�� ' <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEME�iT <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: �ewer Disconnection ❑ Well Abandonment# <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees to: <br /> 1. Submit a survey, aerial photo or sketch showing all structures on the property. Note which <br /> structures are to be demolished. <br /> 2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in <br /> accordance with Chapter 79, Construction Site Runoff Control. <br /> 3. Submit a copy of permit approval from the Minnehaha Creek Watershed District (MCWD). The <br /> City will not issue a demolition permit without a copy of the permit(s) from the MCWD or <br /> documentation stating permit(s) are not required.� l�^�Zn <br /> ! � <br />