Laserfiche WebLink
�i <br /> ��" �y City of Orono L (D ; F �t t�sE o�t.v <br /> : �'�v�Ia,, F.O.Box 66 �� 1 Date Receivzd�j�� permit ri O��S C� O�� <br /> 275Q Keiley Park�vay � Q <br /> Crystal Bay,MN 55323 !lmount: S�0��� SAC Credir. <br /> � ' � (952)249-4600 <br /> ,;;� \� � Homeo�tiner(s)Si�,ned: ❑Yes <br /> � ; Resolutio�u(if'az�y)Signcd:�1`es ❑l�ane Required <br /> �''ti�.��L. " ZoninQ Disclos�re Si�ned: ❑Yes ❑\one Re uired <br /> C1TY OF ORONO - DEMOLIT(ON PERMiT <br /> (Ail permits must be approved by the Building O�cial andior Zoning Department} <br /> Job Site /Ownsr lnformation: <br /> Type: [�' Residentiai (�Commerciai <br /> Site Address: �C�.� ,(, ,Q � vu--, t[}„� Y�1C1Uy�.� (yE,.�T �<;,3 (,� �� <br /> Owner: �c��-c� ��,t�.�� C�3 ��.c,• � Mailing Address: df�� �1.5`��' �}uc-�. S�. � <br /> City: ��y�-,���� �n� Zip: � .��!�/� <br /> Phone: ��0�— �'�i d --��C.�C� Email: G�� ��(v1�/y SC'YJiI CJ�.... ,t'��-,.� <br /> t� <br /> � Contractor i Applican# infiormation: <br /> Contractor/r�pp.: ��/�tn, �'�y,n , v���S �CCContact Person: ��� � r��Q�r <br /> Address: �`l� GcJ t�v a ( S#ate License#: -�-�� <br /> City: i'�'1�`I e� Zip: �,3(p Expiration Date: /(,J /�- <br /> Phone: �� ��'9S�- �-��`� Email: �ec�E v► C� VI 7 Pvi ,,,rL��_�__s vlff� .C�`� <br /> i SPEC�AL CONDIT#aNS $� HOL� HARMLESS AGREEMEII[T i <br /> General lnstructions; <br /> 1. You may be required to obtain ofher permits, i.e.:well abandonment, sewer, etc. <br /> 2. Work rttust nof begin unless the permit card is available on the job site. <br /> 3. A 24-48 hour notice is required for all inspections. Cail (952)249-4600. <br /> 4. Sewer mus#be discontinued at the City service by qualified eontractor before dema permit is issued. <br /> Demolition by means of: ❑ Manua! Disassembly �Heavy Equipment ❑ Other <br /> Permit(s) Issued: 1�Sewer Disconnection �(Weli Abandonment# <br /> �� <br /> !n return for issuance of said Demo{ition Permit, the undersigned owner hereby agrees to: <br /> 1. Submit a survey, aeriaf photo or sketch showing all structures on the property. Note which struciures are <br /> to be demolished. <br /> 2. Submii a survey, aerial photo or sketch showing proposed erosion controi measures in accordance with <br /> Chapter 79, Gonstructibn Sife Runcff Control. <br /> 3. Submit a copy of permit approvai from ihe Minnehaha Creek Watershed District (MCWD). The City wil( <br /> nof issue a demolition permit without a copy of the permit(s) from the MCWD or documentation stating <br /> permit(s) are not required. (.-, <br /> Form Last UpUa!ed: January 2075 ,� �v ' I�� <br /> !�t)73-i <br />