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14W <br /> ^, City of Orono R IT USE ONLY <br /> P.O.Box 66 Date Receive ] Permit <br /> 2750 Kelley Parkway rr �^ t:0 <br /> Crystal Bay,MN 55323 V /( Amount: J SAC Credit-. <br /> (952)249-4600 <br /> �t a <br /> Homeowner(s)Signed: El Yes <br /> Resolutions(ifany)Signed:❑Yes ❑None Required <br /> k pSttptt� i Zoning Disclosure Signed: ❑Yes [INone 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: Residential ❑ Commercial <br /> Site Addres�lr'3700 I n�l d"/i�-e A <br /> Owner: (,AtAl SJJrC2/ N�,f'f Mailing Address: <br /> City: 1` Ci�t7 Jc� Zip: 5-6 ,303 <br /> Ito (c)3 15(65 -2,0 61) c�w1i 50� K��oLA Cu, ct wtrt tt (c) VVI <br /> Email � C� <br /> Contractor/Applicant Information: <br /> Contractor/App.: 1"T��a7 �-�� > Contact Person: A4 a✓L < <br /> Address: r— A State License#: 1s& Z <br /> City: 04 Zip: 19-4-36cl Expiration Date: <br /> Phone: �b 7j / Z 5 3� Email: �+kJAu IAOVVp ✓vl ,CU✓Vl <br /> SPECIAL CONDITIONS & HOLD HA"' -SS AGREEMENT <br /> �v <br /> General Instructions: <br /> 1. You may be required to onment, sewer, etc. <br /> 2. Work must not h^ job site. <br /> 3. A 24-48 hou, 149-4600. <br /> 4. Sewer must k \ ttractor before demo permit is <br /> issued. <br /> Demolition by means o, I " ❑ Other <br /> Permit(s) Issued: ❑ See _ <br /> L <br /> In return for issuance of /. J r hereby agrees to: <br /> 1. Submit a survey, aV` nj the property. Note which <br /> structures are to be c •f p e V <br /> 2. Submit a survey, at U on control measures in <br /> accordance with Chap <br /> 3. Submit a copy of perm, l .,eK Watershed District (MCWD). The <br /> City will not issue a d a copy of the permit(s) from the MCWD or <br /> documentation stating pc -quired. <br />