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� <br /> O City of Orono � ') FOR CITY[�SE ONLY <br /> �;�i <br /> � �O P.O.Box 66 ( ��7 L' c <br /> � Date Received: � Pennit# _� <br /> 2750 Kelley Parkway i <br /> Crystal Bay, MN 55323 Amount: $ SAC,Cred��� �� ��"i� <br /> (952)249-4600 '� ��4 �-�3 /' ,�./c'Y►'� <br /> y ,t Homeowner(s)Signed: ❑Yes � � �,� <br /> �' (,� Resolutions(if any)Signed:❑Yes ❑None Required ����"�� <br /> `�'fESHO�� 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 /> Job Site / Owner Information: <br /> Type: � Residential ❑ Commercial <br /> Site Address: 3472�qLyric Ave Orono, MN 55319 <br /> Owner: Joshua/Markum Builders, Inc. Mailing Address: <br /> City: Zip: <br /> Phone: Email: <br /> Contractor/Applicant Information: <br /> Contractor/App.: Joshua/Markum Builders, Inc. Contact Person: Mark Olson <br /> Address: 7867 Eastwood Road State License #: BC631542 <br /> City: Mounds View Zip: 55112 Expiration Date: 03/31/2018 <br /> Phone: 612-998-7818 Email: mark@joshuamarkum.com, <br /> SPECIAL CONDITIONS 8� HOLD HARML FSS AGREEMENT <br /> General Instructions: ���� <br /> 1. You may be required to obtain other permits, i.e.: well abando l� <br /> 2. Work must not begin unless the permit card is available on thE /�'�,��.- Slg�l d� <br /> 3. A 24-48 hour notice is required for all inspections. Call (952): ? � <br /> 4. Sewer must be discontinued at the City service by qualified cc (� `��/�.6 �I— � ued. <br /> Demolition by means of: [� Manual Disassembly � Heavy Equipm� � �Qnl(Q� -� <br /> Permit(s) Issued: � Sewer Disconnection ❑ Well Abandonment# 1 SS� � �n�� <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 `� ^ O�� <br /> 1507A4 <br />