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� - <br /> � • <br /> ,¢��` City of Orono C USE ONLY -1 <br /> `r P.O.Box 66 � GY� <br /> Date Received: (� rmit# l07— <br /> ��,. � 2750 Kelley Parkway <br /> � ,��'>�� h Crystal Bay,MN 55323 <br /> '�o� (952)249-4600 Amount: $ - � SAC Credit: <br /> ��04 Homeowner(s)Signed: ❑Yes <br /> Resolutions(if any)Signed:0 Yes ❑None Required <br /> Zonin Disclosure Sianed: ❑Yes ❑None Re uired <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (All permits must be approved by the Building Official and/or Zoning Department) <br /> `7ob.;,5ite/ Owner Information , ::; . <br /> Type: � Residential ❑ Commercial <br /> Site Address: ���� J�-��GUQ J 1 ��'� ��� <br /> �jOwner: �� C + ( Mailing Address: <br /> City: ���U/v� Zip: <br /> Home Phone: Alternate Phone: <br /> �„�n`t�a+�tor/Applicant Information: y ., ; <br /> � � k� �(�= l�A/��l-�',��-c�:r1�� <br /> Contractor/App.:f�� �.aL � S (�/� �p `} Contact Person: /�� <br /> � <br /> Address: ,�� J �'1�/�� f,6 State License #: <br /> Cit �,t��i�z2l(���r�`��i � <br /> y: p: �J� � Expiration Date: <br /> �-- ���� � <br /> Phone: ���.,�-- �2�" �� S ] Alternate Phone: �) � - �"S��`���5`� <br /> �� , � ..��` .. "<SPECIAL CONDITIONS &.HOLD HARIVILESS AGREEIVIENT <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 issued. <br /> Demolition by means o£ ❑ 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 to: <br /> l. 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 $2,000 escrow and an escrow agreement signed by the property owner. <br /> 4. Keep all structure(s) enclosed and/or secured until such time as demolition is complete. <br />