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, nt_ -,_.n ^' <br /> ' ��-Y� Y�.-�1. � <br /> ��,�� ��-� �`""''S gt�w�`".� <br /> wN,Q,,�t c��� �v¢, v�ae�� ��v c�O.v�nc�. <br /> s Q�pfj' V,\S C���C\ rn ti s� FOR CITY USE ONLY <br /> b��� Dato Recaived: Pernvt# Q 10 / <br /> hQ Ct�w�pla-lac� � <br /> C��d '�Q/vrn�� Cw�'► �2 ,4mounr. s sAccreait: <br /> Homeowner(s)Sigaed: ❑Yes <br /> (�j5��r Resolutions(if any)Signod:�Xes �Noae Required <br /> 'Zonid Disclosuro Si ed: Yes NoneR uired' <br /> C�ntist�f wt�$� -s «1� F ORONO-DEMOLITION PERMIT <br /> �'S�ip SW�, be approved by the Building Official and/or Zoning Department) <br /> Type: �Residential ❑ Commercial <br /> Site Address: „�'S �, r�� n/� S'��/r'� .� /1/� <br /> Owner: �DN�i�I/UCN2_ >�/nD� MailingAddress: ,3,�� /�Jp/�� s'�jp/1�. .� <br /> City: 1w�/lz Zip: � s���`��_ <br /> Home Phone: �����,��— � �� Alternate Phone: <br /> �{�" �°� <br /> .+'�hb '.y '1. l'i . <br /> Contractor/App.,:���A Gt�oa�4/, 1 �(� Contact Person: ' � ,/1 G� <br /> Address: ��(�{�� ,c�L�i� State License#: �O 5�� �3/.� <br /> City: L Zip: ,�� � Expiration Date: <br /> Phone: ��/.��—�5�� Altemate Phone: <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 <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 agr`ees as follows: <br /> 1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> complete. <br />