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-O r City. ofx Orono FO CITY USE ONLY <br /> j v P.O. Box 66 Date Received: t. o�lv//I Permit# oZOI 7-O1A'O <br /> Q 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Amount: s�k OJ SAC Credit: <br /> (952)249-4600 ,`� <br /> y� );f)cil-''A <br /> Homeowners)Signed: ❑Yes�, Resolutions(if any)Signed:❑Yes ❑None Required <br /> !•k fs H ORF Zoning Disclosure Signed: 0 Yes 0 None Required <br /> rU 5C tC��� , S-0(,),F�0 <br /> CITY OF ORONO - DEMOLITION PERMIT �`to11 �� <br /> ld <br /> (All permits must be approved by the Building Official and/or Zoning Department) <br /> Job Site 1 Owner Information: <br /> Type: ® Residential _ Commercial <br /> Site Address: 1390 Fox Street <br /> Owner: Whitehall II,LLC Mailing Address: Po Box 92 <br /> City: Crystal Bay 55391 <br /> Zip: <br /> p: <br /> Phone: Email: <br /> Contractor/Applicant Information: <br /> Contractor/App.: Elevation Homes Contact Person: Charlie McGlynn <br /> Address: 18312 MINNETONKA BLVD State License#: 13'60 <br /> City: Wayzata Zip: 55391 Expiration Date: <br /> Phone: 952.449.9448 Email: charlie@elevationhomes.com <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 issued. <br /> Demolition by means of: ❑ Manual Disassembly V Heavy Equipment ❑ Other ��11.. <br /> Permit(s) Issued: E Sewer Disconnection ?j ell Abandonment# MI6/A *3-7033 <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 per nit without a copy of the permit(s) from the MCWD or documentation stating <br /> permit(s) are not required <br /> Form Last Updated: July 2015 <br /> 150784 \l ,Ut( <br />