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.r ' <br /> � � � �� <br /> /,¢��-� Ci of Orono <br /> �����/ <br /> O � tY FOR CITY USE ONLY <br /> ,O 0.,,, P.O.Box 66 Date Received: � Permit# � I/S� ,�(� <br /> �;., �� 2750 Kelley Parkway � �, <br /> ��y �'�• . C stal Ba Amount: $ SAC Credit: �, � ��� <br /> �',," Il �'J �Y Y>MN 55323 �) �� .� <br /> ��� a>>,,���o` (952)249-4600 —�;�,f i�-�� � � � <br /> �asxo <br /> _—_, Homeowner )Signed: ❑Yes � �7a <br /> Resolutions(if any)Signed:�Yes ❑None Required � <br /> Zonin Disclosure Si ned: ❑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 Information: <br /> Type: �,Residential ❑ Commercial <br /> Site Address: ��5 I�i,�. t��� �jV�U�z >!�� v� <br /> Owner: L�ti�=1 ��,�-�n,tiu� (rl.l.. MailingAddress: _��S l���cl��� -�vt �. <br /> city: F���;�Sv►tl.t zip: 5�3�j � <br /> Home Phone: �ISZ-S 3� -�`�t�� Alternate Phone: <br /> Contractor/Applicant Information: <br /> Contractor/App.: t-[��j�uv��v k Y�a��c��5 Contact Person: ����v� �ti�cQl'rS <br /> Address: IZZ�-FS l�� �vl�i-� �v� S State License #: Zp3� 5f�`�'�(- <br /> City: �� t � �� Zip: �� Expiration Date: 3/L75'� <br /> Phone: `��L-��.'�S;° -%.5`rC`J t� Alternate Phone: �`��_ Z��Z _ �,�7 3 <br /> SPECIAL CONDITIONS & HOLD HARMLESS 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: � Ma��.�l Disassembly � Heavy Equipment ❑ Other <br /> i� <br /> Permit(s) Issue(d: � � 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 />