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Qpeg-4037 <br /> �¢OO City of Orono FOR CrrY USE ONLY <br /> P.O.Box 66 ^1 ` Date Received: Permit# <br /> 2750 Kelley Parkway '`\ <br /> Crystal Bay,MN 55323 Amount: $ SAC Credit: <br /> (952)249-4600 <br /> Homeowners)Signed: ❑Yes <br /> Resolutions(if any)Signed: Yes ❑None Required <br /> Zoning Disclosure Si ed: ❑Yes Q None Required <br /> CITY OF ORON -DEMOLITION PERMIT <br /> (All permits must be approved b the Building Official and/or Zoning Department) <br /> fob ate'/ wner I�� ition: <br /> �' r <br /> Type: Residential ❑ Co ercial / f� <br /> Site Address: �� Ax 0/0 10,-/fJ ®4L K <br /> 412 <br /> Owner: y D� Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Cntractnr 1 Applicant Iformaxion <br /> Contractor/A : Com! �0% �''s Contact Person: -A 4 <br /> Pp <br /> Address: 2—c State License#: <br /> City: / Zip: Expiration Date: <br /> Phone: ^�Z Alternate Phone: tIPZ '2-Z <br /> SPECIAL CON v R ; ,D:JIMIUMLESS A RENT' <br /> General Instructions: <br /> 1. You may be required to obtain other pe ts, i.e.: well abandonment, sewer, etc. <br /> 2. Work must not begin unless the permit and is available on the job site. <br /> 3. A 24-48 hour notice is required for all ' pections. Call (952)249-4600. <br /> 4. Sewer must be discontinued at the City ervice by qualified contractor before demo permit is <br /> issued. <br /> Demolition by means of: ❑ Manual Disassem ly jW Heavy 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 d/or secured until such time as demolition is <br /> complete. <br />