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ice-4\ Cityof Orono FOR CITY USE ONLY <br /> r P.O.Box 66 Date R400-ve�t *"'.1-g ' nnit l /21 <br /> itr° _ 2750 Kelley Parkway <br /> .} Crystal Bay,MN 55323 Amount: $ SAC Ct�it <br /> Ail) <br /> F (952)249-4600 ,��/'� <br /> ........ .l'�omeowner(S Signed: �`I 1-ses*e, equired�`�P Resolutions(if any)Sig �l-*Yca, Acqui <br /> "/ Zoning DisclosureStgrte&.m l•Yesce <br /> v <br /> CITY OF ORON I -DEMOLITION PERMIT <br /> (All permits must be approve. .y the Building Official and/or Zoning Department) <br /> a s <br /> Type: [Reside <br /> `ntial El Commercial <br /> e r <br /> Site Address: 2 -7 b 4 47Z'T� v��" <br /> Owner: gj��t C.OS. 645, <br /> Mailing Address: 5760C#4.1-4 <br /> 760 7:e...-,X S <br /> fri a hS Zip: S 5 fO 3 _ ZO/Z <br /> City: Md4 <br /> 6/2 - r Z <br /> Home Phone: yam Alternate Phone: <br /> Contractor/App.: ,o/, Contact Person: 42:5 77 ' <br /> Pp 4"'�` <br /> Address: s/ 5/7-Q-A-7 Sfi' State License#: <br /> City: 54 P / Zip: 5576 7 Expiration Date: <br /> Phone: ‘5/- 22V-‘z11 Alternate Phone: e/e-2 2 /— 03 (di <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 <br /> issued. <br /> Demolition by means of: In Manual Disassembly IE Heavy Equipment ❑ Other <br /> Permit(s)Issued: Etiewer 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 and/or secured until such time as demolition is <br /> complete. <br />