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RE.��1V��, <br /> 0 '� City of Orono FOR CITY USE ONLY � 2�0� <br /> �g I^�O� P.O.Box 66 <br /> Date Received: Permit��,�,� <br /> �s, �1 2750 Kelley Parkway `� � � � <br /> �� �ljy�=�- +��� Crystal Bay,MN 55323 AmounY: $ SAC Credit �� l� <br /> `��c,,,�"".G�,�.�'���,� �9s'-)za9-a600 ���� � ��� <br /> a� <br /> ��__—�'f Homeowner(s)Signed: ❑Yes ,L <br /> �Resolutions ifan Si ned:�Yes �'�' <br /> ( y) � ❑None Required <br /> Zonin Disclosure Si ned: ❑Yes ❑None Re uired <br /> CITY OF ORONO-DEMOLITION PERMIT (���� ��lp� <br /> (A]]permits must be approved by the Buiiding Officia]and/or Zoning Department) �(� <br /> �, � ��: � �� ��� g��� � N�Ir <br /> p��' �"I�.�II q..9 ���� k �.�� �� �� <br /> Type: []Residential ❑ Commercial <br /> Site Address: 3 7�8 J5(<r►'l�i�'jGr�,.�/'/!i-2J r j,,W c�, <br /> Sv.MM�2 � <br /> Owner: ���{,��,� C ;1��,4�JGr ��.�-/i� Mailing Address: 5S'� ���-�-4c�c �1�.�2�`> �77T�'�=��a�J�, <br /> C�i,�,A , M,ti C�St(Z��1� r� <br /> City: (�j�J�.JV Zip: -�,S�3q 3�f Z.Z9 <br /> S J M!k:/L. � W,. J jl.:L - <br /> Home Phone:`1�L-, �y- C`�,�? `���- `f/ -/7�{S Alternate Phone: � /Z - �7 S— /U�� <br /> �C�ntractQr��/.4pplicant Information: ���'�� � <br /> _ � <br /> ., � � <br /> Contractor/App.: � w. . 7 ,��-iSjE� ,,K<� Contact Person: ��_2.T /yiSJ_� <br /> Address: l7/� E,9LCE L.�.�. State License #: 2o�=y .�c��� <br /> -� -�. <br /> City: ,,ov,�� Zip: /1'I,� Expiration Date: � �-�5l � �Jg <br /> Phone: ���� - �7?- ��l�� Alternate Phone: f L - �5'% _��S � <br /> �� � SPECIAL CONDITI0I�TS & HOLD HAR�VILESS AGREEMENT _-� <br /> General Instructions: <br /> 1. You may be required to obtain other permits, i.e.: well abandonment, sewer, etc. <br /> 2. Wark 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 /> �cuA�Y <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby a�rees as follows: <br /> 1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> complete. <br />