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�0�` City of Orono F R C TY USE ONLY <br /> `r P.O.Box 66 <br /> ��,,, � � 2750 Kelley Yarkway Date Received: O Permit#p��)(Q—Q� � <br /> {��, ' <br /> � �'�� � a Crystal Bay,MN 55323 Amount: � � ��-S�SAC Credit: <br /> d� ����o�o`� (952)249-4600 <br /> �$°KO Homeowner(s)Signed: [I]'"�es <br /> Resolutions(if any)Signed:0 Yes �one Required <br /> Zonin Disclosure Si ed: (�Yes ❑None Re uired <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (All permits must be approved by the Building Official and/or Zoning Department) <br /> � Job Site/Owner Infornlation: <br /> Type: �Residential ❑ Commercial <br /> Site Address: 3530 �}D�'�-h tij�1-dZ.p ,(��' <br /> Owner: ��'Q.�d �G��^�'yt 4.ri-r�– Mailing Address: �5��o(o �oad D��- /r <br /> c�ty: Or�or Lak-e z�p: 5�3 7 Z <br /> Home Phone: �SZ " �`F7 �' 2 � �3 Alternate Phone: <br /> Contractor l Applicant Information: <br /> Contractor/App.: SOfT ����t ���'!aL/'T/D�ntact Person: C L /% f� ��f/ �— <br /> Address: /Q���.-pi� G?�nP s•� State License #: <br /> City: �-/ Zip: ,{S'3 4/ g Expiration Date: <br /> Phone: l�2� �� �3� Alternate Phone: 3 �- 0 �f FT S� yj�f Q <br /> SPECIAL CONDTTIONS & HOLD HARMLESS AGREEMENT i <br /> General Instructions: <br /> l. 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 �eavy Equipment ❑ Other <br /> , <br /> Permit(s) Issued: [�] �ewer 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 />