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t� <br /> 40 City of Orono FOk,CITY USE ONLY Si <br /> O O P.O.Box 66 Date Received: -:j-U Permit# /�'//1p 0 <br /> 4 2750 Kelley Parkway <br /> fTv, <br /> fr + Crystal Ba MN 55323 � SAC Credit: <br /> ;�- �, rY Y� Amount: $ � <br /> �o' (952)249-4600 <br /> Homeowner(s)Signed: Yes <br /> Resolutions(if any)Signed:[E]Yes ❑None Required <br /> Zoning Disclosure Signed: ©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: y7 25 a����o -- L .�r i6 ���3I'y <br /> Owner: /�' _ •- -� Mailing Address: <br /> City: iye'.� i�✓� ///y Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor/Applicant Information: <br /> Contractor/App.:/� Contact Person: <br /> Address: �33�/� _ o State License <br /> City: Expiration Date: t O f/ <br /> Phone: 763:-��'��3�5�7 Alternate Phone: <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. 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 /> 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 />