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ce- 55 's <br /> 0 City of Orono Fp CIT USE ONLY <br /> 0, �0 P.O.Box 66 Date Received: ILL 7.Pe6it# Q 1 oZ - 0 a 1 <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 $� , SAC Credit: <br /> (952)249-4600 <br /> 1 Homeowner(s)Signed: 0 Yes <br /> 1 Resolutions(if any)Signed:0 Yes None Required <br /> I Zoning Disclosure Signed: ❑Yeslone Required <br /> CITY OF ORONO -DEMOLITION PERMIT JZifr <br /> (All permits must be approved by the Building Official and/or Zoning Department) <br /> Job Site/Owner InforriiaiiPi _ <br /> Type: 'Residential ❑ Commercial <br /> Site Address: 7_.25Q L <br /> Owner: net t‘%-.% Mailing Address: i 11 Ipth4h` :Zc <br /> City: (1. L t-Fa:.t.@ Zip: S5 lZ.n <br /> Home Phone: 7 (051 — Z t`��T— 0 Alternate Phone: <br /> Contractor/Applicant Itis "" '` m1•: <br /> Contractor/App ll. u.ca.,.)... 4sj-i -, 1 -r - Contact Person: <br /> Address: 4101/4 4`400 Q, may. 1 State License #: (9301 43 Q <br /> City: ►•tac o. Zip: 5535-1 Expiration Date: 3/ 31 ( t <br /> Phone: 1 - 4 ;75= Alternate Phone: <br /> SPECIAL CONDITIONS&IIOLD HARMLESSAGREEMEIMto-- ,; <br /> General Instructions: <br /> I. 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 �.I-Ieavy Equipment n Other <br /> Permit(s) Issued: n 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 />