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Ci of Orono <br /> O City 2 !I! , <br /> 4.1 / /�Date ReceidG–U�t�'��(7ay(ip-------Iiii.:. CrystalBaMN55323 �/ Amount: : <br /> I (952)249-4600 i '. �' T/ <br /> 1 Homeowner(s)Signed: ❑Yes <br /> � Resolutions(if any)Signed:0 Yes 0 None Required <br /> �1A1' t">> Zoning Disclosure Signed: ❑Yes ❑None R quired <br /> ESC row1` e 1 — <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (All permits must be approved by the Building Official and/or Zoning rumnr-n: ra =:r <br /> Job Site I Owner Information: <br /> Type: © Residential i. <br /> c <br /> Site Address: 570 Orono Orchard Ro, <br /> 0 q3 , <br /> Owner: JBrunello LLC place North <br /> City: Maple Grove MN ic)- gJ i <br /> Phone: 612-850-5260 <br /> ,'' <br /> Contractor I Applicant Information: r i .yy1O 5�`O l -moo re. <br /> `-`-ems 40 <br /> 400011r -‘Contractor/App.: KRJ Homes �Y� m�� <br /> UR �'e CFO- t + <br /> Address: 16890 80th Place North License#: BC663554 <br /> City: Maple Grove Zip: Mn Expiration Date: 03/31/2017 . <br /> Phone: 612-850-5260 Email: jjkrjcon@comcast.net <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 ® Heavy Equipment ❑ Other <br /> Permit(s) Issued: ,❑ Sewer Disconnection ❑Well Abandonment# <br /> t i I2-7--11►\, t-f abil i ctf i red 46r ce to -1 K c Or <br /> In return for issua 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. qForm Last Updated: July 2015 ��(�� j i '11' ,, 1(I( .,, � <br /> 150784 1 �, <br />