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O City of Orono TY USE ONLY � P.O.Box 66 Date Received: � Permit# D/ - � � � 2750 Kelley Parkway Crystal Bay, MN 55323 Amount: $� SAC Credit: (952)249-4600 a .�. Homeowner(s)Signed: ❑Yes S'�n �� Resolutions(if any)Signed:�Yes ❑None Required `��f S H�F� Zoning Disclosure Si ed: ❑Yes ❑None Required CITY OF ORONO - DEMOLITION PERMIT (All permits must be approved by the Building Official and/or Zoning Department) Job Site / Owner Information: Type: �.] Residential ❑ Commercial Site Address �5�� P�`� � `��-- Owner. 1" Y,l P!L �l u c�2.. �1—C— Mailing Address: ��—� �� '� � � ��u 3 City: �-- �v�t Zip: Home Phone: l.t�l � o�� Alternate Phone: Contractor/Applicant Information: Contractor/App.:�� Contact Person: �-V�ct �, � �`'��5��'`-� Address: State License #: City: Zip: Expiration Date: Phone: Alternate Phone: SPECIAL CONDITIONS � HOLD HARMLESS AGREEMENT General Instructions: 1. You may be required to obtain other permits, i.e.: well abandonment, sewer, etc. 2. Work must not begin unless the permit card is available on the job site. 3. A 24-48 hour notice is required for all inspections. Call (952) 249-4600. 4. Sewer must be discontinued at the City service by qualified contractor before demo permit is issued. Demolition by means of: ❑ Manual Disassembly ,� Heavy Equipment ❑ Other Permit(s) Issued: ❑ Sewer Disconnection ❑ Well Abandonment# In return for issuance of said Demolition Permit, the undersigned owner hereby agrees to: 1. Submit a survey, aerial photo or sketch showing all structures on the property. Note which structures are to be demolished. 2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in accordance with Chapter 79, Consfruction Site Runoff Control. 3. Submit a $2,500 escrow and an escrow agreement signed by the property owner. 4. Keep all structure(s) enclosed and/or secured until such time as demolition is complete.