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bJtCcL W�I13 <br /> �Oi V City of Orono FOR CITY USE ONLY !In <br /> P.O.Box 66 Date Received: 141611.4 IPermit# <br /> 2750 Kelley Parkway ' <br /> Crystal Bay,MN 55323 Amount: S SAC Credit: <br /> (952)249-4600 <br /> "j ,` Homeowner(s)Signed: ❑Yes <br /> yF <br /> Resolutions(if any)Signed:El Yes [I None Required <br /> `gKFS H D�� <br /> Zoning Disclosure Signed: ❑Yes ❑None Required <br /> eCm F.QL d (DA-6 <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: 37� ��1�"�N��z-1J �� 020 <br /> Owner: EaAnc-EY tAACt i►\1EXZ Mailing Address: 213v -r-AMAz-A-W- P?-- <br /> City: Zip: J535� <br /> Phone: Email: \�DrA� <br /> Contractor/Applicant Information: <br /> Contractor/App.: <br /> Address: <br /> City: <br /> Phone: <br /> + O <br /> SPECK ���'' .��„`�� ��•_ ��V`N <br /> General Instructions: <br /> 1. You may be required tc <br /> 2. Work must not begin urn <br /> 3. A 24-48 hour notice is req <br /> 4. Sewer must be discontinue Ly <br /> issued. <br /> Demolition by means of: ZManual D <br /> Permit(s) Issued: ❑ Sewer Disconnectic <br /> In return for issuance of said Demolition hereby agrees to: <br /> 1. Submit a survey, aerial photo or ski „s on the property. Note which <br /> structures are to be demolished. <br /> 2. Submit a survey, aerial photo or ski j proposed erosion control measures in <br /> accordance with Chapter 79, Construction <unoff 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 a copy of the permit(s) from the MCWD or <br /> documentation stating permit(s) are not required. 13.2„67] <br />