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��Sc'f c��_t% �r��YY�C v'11 �i��i/�.CI <br /> ,� ��SC.T"'C:'l�t-� �A"i(� <br /> ��-y� City of Orono FOR CITY USE ONLY �7� �} <br /> � P.O.Box 66 Date Received: pr%�r�%,�Permit# '�(J�7 — � L�l� <br /> � 2750 Kelley Parkway �Tr�s7`7 <br /> � Crystal Bay,MN 55323 Amaunt: $� SAC Credit: jN <br /> 4 (952)249-4600 � <br /> \�. ,c'"/ Homeowner(s)Signed: ❑Yes � � <br /> � ��. C.�'/ Resolutions(if any)Signed:�Yes ❑None Required <br /> "�K�s�.;p��i Zonin Disclosure Si ned: ❑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 /> ���.���f�t'�':.N Tt�`�t'T}r'�'�t��.:. ,; <br /> Type: �] Residential ❑ Commercial <br /> Site Address: 25 ►�+ (.s�� ��,�,.�(' �,..� Z <br /> Owner: ,un� H��t Mailing Address: z5�� C�S�. ,o�;,,,.-c �,t <br /> City: eroac Zip: f53� � <br /> Phone: "1`3- So1 - �H•. Email: �nrt�.��l..�� F� NMtn��► M�Sa�NTY �.... <br /> �t�i'I��G#t�P���1��C'i'���'��t"C�'17t[�11:,:, <br /> Contractor/App.: 5�'a•c�.� ��-t Contact Person: 5�-- 1,.,,,�'.rSp-- <br /> Address: �5^� t..►+-� N' t State License#: �,c 5�u3�s' <br /> City: '�"l�-^'��-- Zlp: SSS1� Expiration Date: 3- Z � <br /> Phone: ��z- u'1'Z6ia Email: S�t.+ o. 5-1-,�,w,KZ , �.-., <br /> ����li��t����T1C�A1� �.�31��:NA�tML ��"►F�����` �. <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 of: ❑ Manual Disassembly � Heavy Equipment ❑ Other <br /> �l �'C,f.`�jC' 1� <br /> Permit(s) Issued: Sewer Disconnectior ❑ 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 structures are <br /> to be demolished. <br /> 2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in accordance with <br /> Chapter 79, Construction Site Runoff Control. <br /> 3. Submit a copy of permit approval from the Minnehaha Creek Watershed District (MCWD). The City will <br /> not 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 Updated: July 2015 (f/� C��l�`) l LY I����� <br /> 150784 �`�v ✓ <br />