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+0�‘ City of Orono USE ONLY <br /> /O✓ O P.O.Box 66 Date Recei__'./'70 Permit#0 O/O( 9 SJ <br /> 2750 Kelley Parkway <br /> IA4'14: Cryst <br /> (952)2al Bay,MN 55323 Amount: S 7'5 SAC Credit <br /> B 49-4600 <br /> Homeowners)Signed: ❑Yes <br /> Resoledions(if any)Signed:El Yes 0 None Required <br /> Zoning Disclosure.Signed ❑Yes ❑None Required <br /> CITY OF ORONO-DEMOLITION PERMIT <br /> (AB permits must be approved by the Building Official and/or Zoning Department) <br /> Job Site/Owner Information: <br /> Type: p Residential ®Commercial <br /> Site Address: 85 S Old Crystal Bay Rd <br /> Owner: Scott&Michelle Miller Mailing Address: P. O.Box 247 <br /> City: Orono Zip. 55356 <br /> Home Phone: (952)404-0494 Alternate Phone: (612)810-1542 <br /> IContractor/`Applicant Information: <br /> Contractor/App.: See Above Contact Person: Scott Miller <br /> Address: State License#: <br /> City: Zip: Expiration Date: <br /> Phone: (612)961-6612 Alternate Phone: <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 <br /> issued. <br /> Demolition by means of: NI Manual Disassembly ❑Heavy Equipment Q Other owoi 1Q14 <br /> Pernit(s)Issued: ❑Sewer Disconnection 0 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 />