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• <br /> -fv 55ere /s dtk4 <br /> �,1� City of Orono 'NA� /(� FO�jrCTT USE ONLY <br /> /0 0\ P.O.Box Orono <br /> 1 l� (rJ" Date Received: 1Z/Z1i'14trmit# 020/04 -»D 1 e1 7 3 <br /> ' 2750 Kelley Parkway ttt <br /> Crystal Bay,MN 55323 Amount: $/DS SAC Credit: <br /> \ a/L +, ;051 (952)249-4600 <br /> Homeowner(s)Signed: 0 Yes <br /> Resolutions(if any)Signed:0 YesNone Required <br /> Zoning Disclosure Signed: 0 Yes None Required <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (All permits must be approved by the Building Official and/or Zoning Department) <br /> Site/'Owner`Information: <br /> Type: ' Residential [' Commercial <br /> Site Address: 7...33(21 0 ( i <br /> Owner: R)p,vrkoL,c]�Ytie ij 4-I Mailing Address: l 1 1 kIYV -D✓ <br /> City: v lkuv o ke. k L— Zip: L t3 l Z <br /> Home Phone: Alternate Phone: <br /> Contractor/Applicant Inform <br /> Contractor/App.: 4as Contact Person: �► 1c <br /> Address: 41()c� l G State License #: (o -1 a R <br /> City: Vti� ,,we_., Zip: 5S-3 SI Expiration Date: 3( 31 <br /> Phone: - 41s - 4 bz .-) Alternate Phone: <br /> ° BA % Y '»'i tl T p'",i 4.= YP <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: ❑ Manual Disassembly igHeavy Equipment ❑ Other <br /> Permit(s) Issued: ❑ Sewer Disconnection ❑ 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 <br /> structures are to be demolished. <br /> 2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in <br /> accordance with Chapter 79, Construction Site Runoff Control. <br /> 3. Submit a $2,000 escrow and an escrow agreement signed by the property owner. <br /> 4. Keep all structure(s) enclosed and/or secured until such time as demolition is complete. <br />