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City of Orona ��� _ _Foxci�ritusEot,�.Y '� <br /> ���/� P.d.Bdx 66 � r�,��1 Date 12eceiv `e�"�23-� Permii# 0��,��� <br /> V 2750 Keliey Parkway ��j <br /> Crystal Bay,MN 55323 Amounr. $�SAC Credir. <br /> {952}24911600 <br /> � � tiwua�nmcr(R)Sig�d: r[3 Yea <br /> �{^� L�` �k2SC�LL�lOLS{t2:lA)J�i�'}ICtJ:L�YN& ❑Ironc R�uired� . <br /> t�7,r�y.��4�F 7anin�I�ivcta;iire Si�ned' ❑Yes ❑Nuoe Re nir�i <br /> `�-�_.�-�• <br /> �� � � ���'�L� I <br /> ClTY OF ORONO - DEMOLITION PERMIT <br /> {All permi[s must be approved by the Buiiding�fficiaf and/or Zoning Department) <br /> Jol� S�ke l�Owner Informat�on`-` <br /> Type� �Residentiai ❑ Comrnercial <br /> Site Aadress: �.0 �P� iVo'�C'� 5t�ca� I�. . (�R+�JC�,� ��� � <br /> Owner; �. �c�•a L��p�rt..��, Mailing Address: p o . �x ?�p <br /> c�ty: f;tz�s� ��f z�p: 5�32� <br /> �hone- {�12,$'�� �S�C,� Emai�: ;�t_��-v��—�� C.��•�+►��k.-.vS. <br /> � Cantractflr/Applicant 1n�for�natian: > �� <br /> _ i� ' � �� � <br /> Contractor/Ap�.:��'t,�� `�-k,.�,rti+i�I , ��o�tact Person: V�.1���� I�i v���5 `� '" <br /> Atldress; �.���I ���'��! ��t`�-�-��Stat�i�ense#: ��,: � �.�.�' � �,� -'� <br /> � � , <br /> City; ��L Zip: ��.. Expiration �ate: �I <br /> Phone: ���' ��ti.'C�`� � ���� EmaiL � � �--�<<= ��� �, �'�-U W n.1 ivt.� ��7 �� 1 : <br /> —�. <br /> ° �`-SPEG�AL=GOM�ITIDNS�& HOLD HARNILESS AGRE�MENT <br /> Generai InstnactioMs: <br /> T. You may be reauired to ohtain other�ermits, ;.e.:weli abanc!onment,sewer, etc. <br /> 2, Woric rnust not beg+n ur�less ti�e permit card is ava�fabie on the job sita. <br /> 3. P,24-48 hou,notice is required far all inspections. Call(952)249-�a600. <br /> 4. Sewer must be discontinued at the City service by qualified contractor before demo permit is issued. <br /> Demolition by means of: (� Manual Disassembly � Heavy Equipmeni ❑C?ther <br /> t ' <br /> Pcrm+t(sl lssued: ❑Sewet fliscon��cfion ❑V�leN Abar,danr,?ent� <br /> fn return#or issuance of said Demotition Permit, the undersfgned owner hereby agrees to: <br /> !. Submit a surve.y, aerial photo or sketch showina all structures on the proqerty. taote wh�ch struetures are <br /> id be dernofished. <br /> 2. Submit a survey; aerial photo or sketch showing proposed erosion control measu��es in accordance with <br /> Chap#er 79, Constructian S1te Runoff ControL <br /> 3. Submit a copy of permit approval from the Minnehaha Cresk Watershed District {MCWD). The Gity will <br /> not issue a demolitian permit without a ca�y of th� psrmit{s)frcm the 1�hCWD or documentatinn stating <br /> permit(s�are not requiree. <br /> �om���$t�Ada��: ��Jy��� � �-� _ `� RECEIVED <br /> �St77kd <br /> MAR 2 3 2017 <br /> CITY OF ORONO <br />