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� ,�D l0 <br /> �O� City of Orono FOR CIT USE ONLY 'r ? <br /> P.O.Box 66 Date Received: �v'� Permit# �Q� `I'J <br /> � 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Amount: $�� SAC Credit: <br /> (952)249-4600 <br /> y ,�" Homeowner(s)Signed: ❑Yes <br /> �' �,� Resolutions(if any)Signed:�Yes ❑None Required <br /> ��kESH��� Zonin Disclosure Si ed: ❑Yes ❑None Re uired <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (All permits must be approved by the Building Official andlor Zoning Department) <br /> Job.Site/Owner tnformation: <br /> Type: � Residential ❑ Commercial <br /> Site Address: -3 � ��/ /V�o r� .S� ��-e �r�Uo <br /> Owner: A( d- �dh hu �'d ��.n Mailing Address: � �' -- � `'X -5 <br /> City: C��v No Zip: �5 3 �--.� <br /> Phone:�r� 1 �- 7R�1 - �.l5 Z Email: _�I � � o+ `S ��. q�y a h oo . r„a W� <br /> Contractor/Applicant Informa#ion, ; <br /> ' ,! <br /> Contractor/App.: Contact Person: <br /> Address: State License#: <br /> City: Zip: Expiration Date: <br /> Phone: Email: <br /> �PE�IAL���IDITI�I�IS� W�LD°ii�4�1Lf�CS�4�ftE�EAA,�IT <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 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 � copjr of the permit(s) from the MCWD or <br /> documentation stating permit(s) are not required. <br />