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Uv <br /> . /��� - <br /> � ' <br /> _� , <br /> ,� � ��, City of Orono --- <br /> (� �a c i rti t S�o�1�� —� <br /> /��` P.4.Box fr6 Date Rcceived���1�.� Pem��t�GC)��j_�:I G� <br /> `�-� 2750 Keiley Parkway <br /> � � f `� Cry5t8i 88y,MN 55323 qinptstt �� ��,AC t'reJss <br /> , � �_ �. � . � <br /> � �, (952}24&4600 ��C: ��� <br /> ;y�; "- �1j �\ ��o�«���>sr�� ❑���`� � / d/n8 <br /> , <br /> ��`�� �i� u ' �� /� , � Resolutiarts(it am�}5tgned�❑1"� [�ti����E,,�r� � /� <br /> -....-1,�f 4�,�,�,�:� � � rr � lonan�f)�ticl�nur��i�ai+ci��_.._[�]1_r� Q\„ � ki��uare;!��1ii//�� <br /> �y <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> tAu peRrais must be approved by u�9uiktir�cNf#ciar anarw zoning O�artrr�er�t3 <br /> .�Cf�' ..; 1t1���i811; <br /> Type: �Residential ❑ Cammercial <br /> site Aadress: �15;g Nd c��. S�n,d�e., ��.�e. �ca�e S'S 3at1 <br /> Owner: (���a►c.l ': �a`���uc�n�.�c.� Maiiing Address: �'�3�5� C,e�►h1v� Z-� <br /> City: �t�w�.�.�� Zip: SS�uI`� <br /> Phone� �.,�,Z•�C�O. ���'`� Email: MRi��.c►e-� �..Otav�a��¢..c.�vt,.��►o���S • <br /> �� <br /> Cor�tra�!��a�it�n�orrr�#i�n; _ <br /> Contractor/APR-;,,_._,� ��'l/y/��..L..�,�ontact Person: `" J ��Y����!/�/ <br /> �:.,.G -_�Z�. <br /> Address: ���Y�'��,r2�_� State License#: <br /> City: /�P Zip: � �37Z Expiration Date: <br /> Phone: o�lz-7�7 �� Emaii.�SG�vi1.l d�I 1✓����cZ � Y►� � � <br /> , <br /> r� ��o � ,�r� � ���, ¢�.� � � <br /> General Instructions: <br /> 1. You may be required to obtai�other permits, i.e.:weli abandonment,sewer,etc, <br /> 2. Vlforlc must not begin unless the permit card is avaiiabie on tt�e job site. <br /> 3. A 24�t8 hour notice is required for ail inspections. Cafl{952)249-4600. <br /> 4. S�nrer must be disoontinued at the City service by q�alified contractc3r before demo pe�rnit is issued. <br /> Demotttion by rr+eans of. ❑Manual Disassembly �Heavy+Equipment ❑Other <br /> Permit{s)Issued: Sewer Discannection ❑Wel!Abandonment# �%`�° �t'�Y� <br /> ���'�'.d �.' #ZD Ilo-p0 � � `� <br /> In return for�ssuance of said QemolFtion Permit,the undersigned vwner hereby agrees to: <br /> t. Submit a survey, aerial photo or sketch showing all structunes on the property. Note which structures are <br /> to be demoiished. <br /> 2. Submit a survey, aerial photo or sketch shaM+ing praposed erqsion control measures in xc�ordance with <br /> Chapfer 79, Consfructian Site Runoff ConhoJ. <br /> 3. Submit a copy of permi#approvaf from the Minnehaha Creek Watershed pistr�t{MCWDj. The City wiii <br /> not issue a demalit�n permi#witltout a capy of the perm�t(s) from ths MCWD ar documentat'son stating <br /> permit{s)are not required. <br /> Form Las�t flpdated: Jedy 20t5 <br /> 1507$4 <br />