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City of Orono FOR CITY USE ONLY <br /> P.O.Box 66 Date Received. /`S--o7 Permit# U(� <br /> 2750 Kelley Parkway <br /> }a rr„r a Crystal Bay,MN 55323 Amount: $`�% SAC Credit: <br /> � (952)249-4600 <br /> Homeowner(s)Signed: Yes <br /> Resolutions(if any)Signed:LJ,Yes ❑None Required <br /> Zoning Disclosure Signed: [E Yes ❑None Required <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: 21' esidential ❑ Commercial <br /> Site Address: y 7 -3 / <br /> Owner: ailing Address: 35'9 a Gy7WA-- t �/ <br /> City: ;�;�� �,sT �� Zip: <br /> Home Phone:g�`�-V 7 z - Z 7 y 2 Alternate Phone: <br /> Contractor L Applicant Information: <br /> Contractor/App.: . Z4efContact Person: <br /> Address: 3 33 s v State License <br /> City: Zip:SS27 Expiration Date: �G/g <br /> Phone: 7�3 S'y� S5'7 Alternate Phone: 6/z - Q ?'0003 <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 pen-nit 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 /> i. The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> complete. <br />