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ebt,e_i_i 1,� elf&wf <br /> City of Orono Try USE ONLY%0 �(� <br /> (7----111....48\\ P.O.Box66 Date Receive /� CfPeit# " /" r� 37 <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Amount: $ SAC Credit: <br /> (952)249-4600 <br /> A Homeowner(s)Signed: 0 Yes <br /> *tifL, <br /> G� Resolutions(if any)Signed:0 Yes 0 None Required <br /> ��SH O'?.‘'. Zoning Disclosure Signed: 0 Yes 0 None Required <br /> CITY OF ORONO - DEMOLITION PERMIT RECEIVED <br /> (All permits must be approved by the Building Official and/or Zoning Department) <br /> J00.1 / ` i*r information MAR 0 2 2018 <br /> CITY OF ORONO <br /> Type: r. Residential ElCommercial <br /> Site Address: 1725 Bohns Point Rd, Wayzata MN 55391 <br /> Owner: 1725 BOHNS POINT, LLC Mailing Address: 8300 Norman Center Dr#1000 <br /> City: Minneapolis, MN Zip: 55437 <br /> Phone: Email: <br /> Contractor,!Applicant Information: <br /> Contractor/App.: Revision, LLC Contact Person: Kevin Shultz <br /> Address: 153 Lake Street E State License#: BC639027 <br /> City: Wayzata Zip: 55391 Expiration Date: 3/31/18 <br /> Phone: 612-710-7236 Email: kevin@revisionmn.com <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 issued. <br /> Demolition by means of: EA Manual Disassembly El Heavy Equipment ❑ Other <br /> Permit(s) Issued: El Sewer DisconnectionN/A ❑ Well Abandonment# N/A <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees to: <br /> 1. Submit a survey, aerial photo or sketch showing all structures on the property. Note which structures are <br /> to be demolished. <br /> 2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in accordance with <br /> Chapter 79, Construction Site Runoff Control. <br /> 3. Submit a copy of permit approval from the Minnehaha Creek Watershed District (MCWD). The City will <br /> not issue a demolition permit without a copy of the permit(s) from the MCWD or documentation stating <br /> permit(s)are not required. <br /> Form Last Updated: July 2015 <br /> 150784 <br />