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. � <br /> Cit of Orono ��� � <br /> Y �.� FO CITY SE ONLY �p � <br /> � N P.O.Box 66 �d �� �,� T <br /> O O 2750 Kelley Parkway ` s Date Received: �/ �ermit# �G_ [/j /� � <br /> ( C ry s t a l B a y, M N 5 5 3 2 3 �� Amount: $���j"• S A C Cre dit <br /> � (952)249-4600 y <br /> ` a Homeowner(s)Signed: ❑Yes <br /> y : <br /> e� � Resolutions(if any)Signed:0 Yes ❑None Required <br /> �'� <br /> �'9k f 1 h{���tj% Zonin Disclosure Si ned: ❑Yes ❑None Re uired <br /> � �5C'� d Soz� <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (All permits must be approved by the Building Official and/or Zoning Department) <br /> Job Site / Owner Information: <br /> Type: � Residential ❑ Commercial <br /> Slte AddfeSS: 3017 North Shore Drive �arn� �(,��, q�,Q���yU�/ � <br /> OWllet": Swanson Homes Mailing Address: 1360 Hamel Rd �"��� <br /> City: Hamel Zjp: 55340 <br /> Ph011e: 763-478-0320 Email: Wl Y�(�V���I��I�.S•W� <br /> Contractor/Applicant Information: <br /> Contractor/App.: Scherber Companies, LLC C011t8Ct P2fSOft: Corey Scherber <br /> AddfeSS: 20160 75th Ave N State License #: <br /> Clty: Corcoran Zjp; 55340 Expiration Date: <br /> PhOfl@: 612-282-7403 EfTlall: scherberco@yahoo.com <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <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 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 structures are <br /> to be demolished. <br /> 2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in accordance with <br /> Chapter 79, Construction Site Runoff Control. <br /> 3. Submit a copy of permit approval from the Minnehaha Creek Watershed District (MCWD). The City will <br /> not issue a demolition permit without a copy of the permit(s) from the MCWD or documentation stating <br /> permit(s)are not required. <br /> Form Last Updated: July 2015 ��� � ��✓ � <br /> 150784 <br />