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� _ , ' <br /> O City of Orono Fo c usE oivr,Y <br /> � � P.O.Box 66 Date Received: 1��u�� Permit# a�0��"'�O �Q <br /> � 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Amount: $ SAC Credit: <br /> (952)249-4600 <br /> � ,� Homeowner(s)Signed: ❑Yes <br /> yc� �,� Resolutions(if any)Signed:❑Yes ❑None Required <br /> tq'�ESH��� 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 /> ,lab-��tc�.l��r'irrf�xrraa�tiora: <br /> Type: (�Residential ❑ Commercial <br /> Site Address: /V �rl�r -D✓' <br /> Owner: �.S`��s?�c��r �LC Mailing Address: p0. 615 � <br /> City: P1`�'�`��� Zip: SS�r�c 6 <br /> Phone: a�.2 �t 90 7'�,�� Email: �j�y C�o�s����8'������*. <br /> ���ori�"r.ac�or l�i�p�lic�n#:Infor�na�ic�n: . <br /> ,r r, <br /> Contractor/App.: �/aV�2� �X�c�V4 uq,1�c�, Contact Person: <br /> Address: I�YIS �c�c�c.r ,ecf State License#: ��Q��ll1� <br /> City: Zip: Jr-s��( Expiration Date: �� <br /> Phone: 6��2 "�6.3 —��3.� Email: C��l�rQv��C�t�S�. �'o�r <br /> - �aF�1' � '���:;���f����i :'b .,� ` ,. �"j <br /> General I nstructions: <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 MCUCID or <br /> documentation stating permit(s) are not required. <br /> � 13 -�ol <br />