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QA, City of Orono(il uo>v>isY ���
<br /> i V P.O.Box s6 11 pat >acen erm t It ;1 "`
<br /> V 2750 Itelley Parkway V f
<br /> 30,
<br /> Crystal Bay,MN 55323 ��6 Amount. S !R
<br /> 1.
<br /> {952)249-4800 SAC t
<br /> Homeawnet{s)signed Cl Yes e�` �,'� Resot dns(if any)Signed Yu`: None Relluired
<br /> �(� &ding D�sctosute.Srgnert Ye43,;EjNorie'S,equired
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<br /> CITY OF ORONO - DEMOLITION PERMIT
<br /> (All permits must be approved by the Building Official and/or Zoning Department)
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<br /> ,, ,42 Jt.4 y t,,', 1 Y a.. ."*, x" 44
<br /> Type: fJ Residential ❑ Commercial
<br /> Site Address: 1200 01J C.j J4 L 8., Rd. S.
<br /> Owner: Bill b lel Mailing Address: So•isF
<br /> City: . Or•wo Zip: SS 321
<br /> Phone: 6 I7--7 l st-1fl3 Email: bill 40 c't+j S.:,w•d .uS
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<br /> Contractor/App.: pc.t4 Cow.Pawtes LLL Contact Person: Ckat A k,t.w1►wecolt
<br /> Address: I7-1Vo Tue_ke.e Read State License#: ZR 4U6Z9
<br /> City: R•3t-rs Zip: SS3/4 Expiration Date: i2 i i ill -
<br /> Phone: 763-Zft- '11SI Email: DcI# comps....i.-s do 3,,,,AiI•Wat
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<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 El Manual Disassembly it Heavy Equipment ❑ Other
<br /> Permit(s) Issued: ❑ Sewer Disconnection El Well Abandonment#
<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 /> l'ilfr
<br /> Foam Last Updated: July 2015
<br /> 150784
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