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� <br /> � CitV of Orono FOR C[TY USE ONLY .� <br /> �� �� P•O•Box 66 Date Received: ��� Permit# ��� <br /> �;A;s�,,� 2750 Kclley Parkway � � � <br /> � �`��';�='. � Cr stal Ba MN 55323 � � <br /> �4�-�.,.,; �, Y Y� Amount: $_�_ SAC Credit:� :/ <br /> `;(�?����o` (952)249-a600 � � � 7 C <br /> �,�.rRo¢� j C�� �� �l! <br /> ��eHi Homeowner(s)Signed: �Yes <br /> Resolutions(if any)Signed: es ❑None Required <br /> Zonin Disclosure Si ed: es ❑None Re uired <br /> ,��,��'� <br /> CITY OF ORONO - DEMOLITION PERMIT �� <br /> � <br /> (nll permits must be approved by the Building Official and/or 7_oning Department) �`� <br /> JoU Site/ Owner Inforn�ation: �` <br /> Type: �Residential ❑ Commercial <br /> Site Address: f 5RD ��°i.N� L�,�'� �31✓d, . <br /> Owner: ' �r/�r/ CY//C�$(�✓� <br /> � <br /> ��,I�9E Mailing Address: <br /> City: /�iQ�a/� Zip: C5,3:,'� <br /> � <br /> Home Phone: Alternate Phone: �/� —�,25' -- )�j Sy <br /> Contractor/Applicaiit I�ifonnation: <br /> Contractor/App.: �U �✓CG� � / ..��'� Contact Person: ��J{ ��C�_ <br /> Address: ��9��2.�%�,���/�� � State License #: �0�3�6/� <br /> City: � �''= Zip: �30} Expiration Date: ��_ <br /> Phone: �3 �3 -$�.S/Z Alternate Phone: �2 �S� $"�1/S <br /> SPECIAL CONDITIONS & HOLD HAItMLESS AGREEIVIENT <br /> General Instructions: <br /> 1. You may be required to obtait� other pennits, i.e.: we11 abandonrrient, 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 seivice by qualified contractor before deino pennit is <br /> a5��-� ��issued. <br /> y� 1U�'��(������ <br /> � <br /> Y��.S ��Demolition by means of: ❑ Manual Disasseinbly ❑ Heavy Equipment ❑ Otl�er <br /> emlit(s) Issued: ❑ Se�ver Disconnection ❑ Well Abandomnent # <br /> In return for issuance of said Demolition Pein7it, �he undersigned owner hereby a�•ees as follows: <br /> l. The sh-Licillre(s) shall be 1<ept enclosed and/or sect�red until such time as deniolition is <br /> con7plete. <br />