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� `ia�rn A S C�evro G�a�1 ►� <br /> � ._ 7 �- <br /> � . � ] � <br /> , �' C <- <br /> ����C. tz� t1 �--j� � j J� �� <br /> . . �5� -?/ ��.`� <br /> ,¢p� City of Orono Fo�sE oNLv 1 <br /> O p O P.O.Box 66 Date Received:3 /8 O Permit# OdQ Q� /l � <br /> �;, ,,�.,, 2750 Kelley Parkway ` <br /> ��'�� �=� � Grystal Bay,MN 55323 Amount: $ °� - '�SAC Credir (. �'..� �� <br /> �'�o�.�o'� (952)249-4600 � � <br /> Homeowner(s)Signed: �Yes �/ <br /> Resolutions(if any)Signed:❑Yes [�None Required <br /> Zonin Disclosure Si ned: ❑Yes ❑None Re uired <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (All permits must be approved by the E3uilding Official and/or Zoning Department) <br /> � Job S�ite/ Owner Information: <br /> i <br /> Type: [J Residential ❑ Commercial <br /> Site Address: � ( �6 /�/�rT"G, S�o.—� �rr v�-- <br /> Owner: �-��n l�!e ald ��-�� � ��rr-Mailing Address: �'o`J t�l;h„ e 7 A�j,��; � <br /> ������ <br /> c�ty: �� ��Q . LE�, �_��� z�p: ss 3s6� <br /> Home Phone: �15 a � �5� i�� � Alternate Phone: �� � - j(6 � �Sec� <br /> Contraetor/ Applicant Information: <br /> Contractor/App.: c7 w�r�iC Contact Person: <br /> Address: State License#: <br /> City: Zip: Expiration Date: <br /> Phone: Alternate Phone: <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 <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 as follows: <br /> L The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> complete. <br />