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- O�D�O City of Orono FOR CITY USE ONLY <br /> P.O.Box G6 Date Received: Permit# <br /> �� fr 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Amount: $ SAC Credit: <br /> ����''�ya� (952)249-4600 „ <br /> HomeowneT(s)Signed;' ❑Yes, <br /> Resolutions(if any}Signed:❑Yes ❑None Required <br /> Zonin Disclosure Si ed`.' es`❑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/;Owrier;Tn,formation: <br /> Type: � Residential ❑ Coinmercial <br /> Site Address: � CQO S'- �l/: S�G�f �l� <br /> Owner: /yl/�. � `��2�' ��� �/ Mailing Address: � `� / �/��4�`'.�? /2 <br /> City: �1a-�- Zip: S�^T�' � <br /> Home Phone: �P/o? "��� ' a.S���O Alternate Phone: <br /> ;Cont�actor I:14pplicant;,I�iformation �` <br /> Contractor/Ap .: 4�e�'L T �2�- �/ir1Er Contact Person: /�� <br /> r -�� <br /> Address: ����'�—'�' S� State License#: ���� <br /> City: C xCLe.�/G�' Zip: SS-��� Expiration Date: � � G `� <br /> Phone: �.�� � �7�� ��3� Alternate Phone: ��� �'�oG' �/�--� <br /> � " k �:�SPECIAL'.CONDITYON5 &HOLD HARMLESS:�GREEMENT. '. . - � -° � <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 tulless 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 /> 1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> complete. <br />