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O���O City of Orono FOR CITY USE ONLY Q <br /> e P.O.Box G6 Date Received: l t:�R'� Permit# I��vg ,/ <br /> 2750 Kelley Parkway ���� <br /> � ��'� � Crystal Bay,MN 55323 Amount: $�SAC Credit:�_ <br /> �'�' 'i90� (952)249-4600 <br /> �t�ov�' <br /> Homeowne�(s)Signed: �'�'es <br /> Resolutions(if any}Signed:0 Yes [�]'�Ione Required ' <br /> Zonin Disclosure Si ed: '❑Yes''[�'1Vone 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,Iiifo`rmation: ° ° <br /> Type: �Residential ❑ Commercial <br /> Site Address: 33Z� n1�J.A��� � <br /> Owner: ('�h� �A-�1AS Mailing Address: 322D ��,JS �-L,J <br /> c�ty: �+�z�lz, m,� z�p: s'�391 <br /> Home Phone:�(fl�Z� �1 t� $`144 Alternate Phone: <br /> Cont�actar�;Appl'icaiit�Inforination ;: <br /> Contractor/App.: �rsc� �i,�a4t-c.s `�c. Contact Person: �j£,�s'„S ��.�.Q� <br /> Address: P,C�_ C�oK S� State License#: Z-�Z� <br /> City: 1.1p�no� ►'1'),� Zip: SS.3�( Expiration Date: /I?� 2 opg <br /> Phone: �L91Z� ZZ�-(�43 Alternate Phone: (��Z, 221-RS,SZ, <br /> ` , - SPECIAi;'CONDITICINS &HOLD HARMLESS-�GREEIVIENT � . , ; .: : <br /> - � - k ' ..:;.-__..e <br /> General Instructions: <br /> l. 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 <br /> issued. <br /> Demolition by means of: ❑ Manual Disassemblyy �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 as follows: <br /> l. The structure(s) shall be kept enclosed andior secured until such time as demoliiion is <br /> complete. <br />