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. <br /> O City of Orono FOR CITY USE ONLY <br /> P.O.Box 66 Date Received: Permit# <br /> � � 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Amount: $ SAC Credit: <br /> (952)249-4600 <br /> 'a ,� Homeowner(s)Signed: ❑Yes <br /> �� ti <br /> �, Resolutions(if any)Signed:❑Yes ❑None Required <br /> ��kESH��� Zonin Disclosure Si ed: ❑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-Sit+�,!K�wner lnfiormatian: " <br /> Type: � Residential ❑ Commercial <br /> Site Address: f`� l/,�r �,% 2 � /.� �?f <br /> Owner: ��c�,3�'2 fi ,�e UL�3� Mailing Address: l��. �� � �-���r�� <br /> City: /�L y�rnv� i� mN zip: SS�y/ <br /> Phone: �/2 7/� �/'7 73 Email: <br /> ��ontr.actor�aApplicant:ln#orma#ion: <br /> Contractor/App.: ��L � Contact Person: <br /> Address: �5�9�� State License#: <br /> City: Zip: Expiration Date: <br /> Phone: Email: <br /> - ,: ... : SP���L:��1������L����t`"�`, ���I�` , .,_ <br /> �, <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 <br /> issued. <br /> Demolition by means of: ❑ Manual Disassembly ❑ 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 to: <br /> 1. Submit a survey, aerial photo or sketch showing all structures on the property. Note which <br /> structures are to be demolished. <br /> 2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in <br /> accordance with Chapter 79, Construction Site Runoff Control. <br /> 3. Submit a copy of permit approval from the Minnehaha Creek Watershed District (MCWD). The <br /> City will not issue a demolition permit without a copy of the permit(s) from the MCWD or <br /> documentation stating permit(s) are not required. <br />