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_ ., �� <br /> r , <br /> '� ��.:� :_ <br /> � , �T <br /> O City of Orono � FOR CITY USE ONLY <br /> �- � P.O.Box 66 �� Date Received: 3/Z�SI�Permit# —��J !� <br /> � 2750 Kelley Parkway � � `T 'rJ� <br /> � Crystal Bay,MN 55323 �' ,� Amount: $ �a,�SAC Credit: <br /> (952)249-4600 ,/�/� • fj <br /> �' � /� ' Homeowner(s)Signed: ❑Yes <br />., �- �e�' �,� t' Resolutions(if any)Signed:0 Yes ❑None Required <br /> t'�kFS �O4� Zonin Disclosure Si ed: ❑Yes ❑None Re uired <br /> , � �SG�V�� <br /> � <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (All permits must be approved by the Building Official and/or Zoning Department) <br /> Job�Site/Owner:anformation: <br /> Type: � Residential ❑ Commercial <br /> Site Address: �{t� A�o.�n s�or� �r. <br /> Owner: (�,�,,,;,, �,h�r�r ��� Mailing Address: O �(� �,, <br /> � <br /> City: T�w�r�. B�, Zip: Sb 33� <br /> Phone: 6lZ - �lo-@�F' �'S��� Email: <br /> Con#ractor/Applicant Informa#ion: <br /> Contractor/App.: Contact Person: <br /> Address: State License#: <br /> City: Zip: Expiration Date: <br /> Phone: Email: <br /> �S�;E�1�►L�01�JD�iT�:�l���`8��M,OLD�MA��1L��� �AA��E�C�111��IT _ <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 avaitable 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. IGJ - I I 3 ��jS10Yl �YI�YO� —�� �'�" <br />