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�. <br /> • � " City of Orono ����,Y <br /> �O� P.o.Box s6 Date Received: Pe�i:l1 <br /> O 2750 Keqey Parkway <br /> Crystal Bay,MN 55323 Amo„nr. S SAC Ciedit: <br /> (952)249-4600 <br /> '� � Ilam�eowne�(s)Signad: ❑Y� <br /> �F �,� xesotucio�<�f any>s��a:p Yes p rroa xaquirea <br /> l�kFSHOR� . Disclosure ' : Yes Noae � <br /> CITY OF ORONO -DEMOLITION PERMIT <br /> (Ail pertnits must be approved by the Buiiding Officiai and/or Zoning Department) <br /> � , <br /> r.,�... ,,, ��ia�,,���"���`���'' �' <br /> �.��.�_- <br /> Type: ;� Residential ❑Commercial <br /> Site Address: �Z�� Nv`�'����bt�G ��i <br /> . <br /> Owner: �Wi1��3�-1�1���;�Icn7lailing Address: 3� ��A�� <br /> c�ri: z�p: 55�'1 t <br /> Phone: ����•�Z '$�6 Email: /�L�,Q�1 A� �—�.�� .�� <br /> i - k�.' +, ,�s 4i'. <br /> �t;�������� <br /> ��.�. �.�',: <br /> Contractor/App.:�M� Contact Person: �G <br /> Address: State License#: <br /> City: Zip: Expiration Date: <br /> Phone: Email: <br /> , : . .... .. ,. . .. .. :_..� , <br /> .__ . . . . ., .. µ .'�_ ry ....-; <br /> }.:' . ,.,.�,��"�,`s;'v��� <br /> General lnstructions: <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 �T ��.�L <br /> ���Permit(s) Issued:�Sewer Disconnection ❑Well Abandonment# . �`v"��' <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. <br />