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' �,n �-3.01 <br /> 40� City of Orono F R,CITY USE ONLY <br /> O O P.O.Box G6 Date Received: O Permit#LC�L�(7 <br /> �°y 2750 Kelley Parkway <br /> � �`��. -.,Jr Crystal Bay,MN 55323 Amount: $eSQ� SAC Credit: <br /> a� (952)249-4600 <br /> ��0�� Homeowner(s)Signed: ❑Yes <br /> ResoluNons(if any)Signed:❑Yes ❑None Required ' <br /> 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:S'ite/..00wner;Iriforrriat�on ':,� <br /> Type: �'Residential ❑ Coinmercial <br /> Site Address: �� � /�0 2 �l� �-/L� �n E <br /> Owner: �n��- C Rr S ��n a� Mailing Address: ,��0 b �, �j2�.yt ��4n� <br /> c�ty: DRn n r� z�p: ..S�S'.3 6� <br /> Home Phone: _ ��Z' �7 �' ���� Alternate Phone: ,��o� - �SI - a OG� <br /> :'Conti�'actor�'Applicarit;I�i,fQrtnation :��, <br /> Contractor/App.: /�b I'1 �tn L v� d �n C• Contact Person: �✓� � v n d <br /> Address: ,�6� /�- ��v+� �-r4'r'�C State License#: ��1 �a 9 s�� <br /> City: �� � �O Zip: 5��6� Expiration Date: /7�gie - 02�p g' <br /> Phone: a �a -75 I- a��� Alternate Phone: <br /> � �::SPECIAI;:CONDITIONS &HULD HARIV�L;ESS AG�tEE1V�.ENT_�-x �' .. ` ::: <br /> General Instructions: <br /> 1. You may be required to obtain other permits, i.e.: well abandonment, sewer, etc. <br /> 2. Work inust not begin tmless 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�sconnection ❑ Well Abandonment# <br /> In return for issuance of s id Demolition Permit, the undersigned owner hereby agrees as follows: <br /> 1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> complete. <br />