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4�� City of Orono FOR CITY USE ONLY <br /> O O P.O.liox 66 Date Recaived: '�- � i- � Permit N zG�l U--�p -7`, <br /> �,•,,,. 2750 Kclley Parkway �l�^ <br /> ����, r Crystal Bay,MN 55323 Amount: S�SAC Credit: <br /> i�;i�,t�- (952)249-4b00 <br /> ,� Homeowner(s)Sigrud: �Yes <br /> Resolutions(if any)5igned: Yes ❑None Required <br /> Zonin Disclosure Si ned: es None Re uired <br /> CITY OF aRONO-DEMOLITIUN PERMIT <br /> (Ali permits must be approvcd by the Building Official and/or 7Aning Departmeat) <br /> Job Site/Uwner lnformation: <br /> Type: � Residential �Commercial <br /> Site Address: �(oS S S�ao�C� l.JoO� f?o4o�C_ _ _ <br /> Owner: l:r� l�Q.����.-� �: `� ��i%'� Mailing Address: <br /> City: �rn n a Zip: �'S 3 3 i <br /> Home Phone: �./a � �-`�r - �(O? Alternate Phone: �S2 - 9��- '�'Z�4� <br /> Contractor/Applicant Information: ' <br /> Contractor/A . �� Contact Person: to, <br /> rr � � �. <br /> Address: Iyo00 �/�.;-� !�/a�� State License#�; _�� <br /> City: y Zip: SS 3 7`� Expiration Date: <br /> Phone: 7�3 � ��8- G �3 y Alternate Phone: 1.����l9 0- n/ 7� <br /> ,_� k ;;�:;��z.. k�`:SPE_4"��.. ��C4k�TD�`1'�(3NS.:` 1�OY.D�HA�tMX:k� ��:�'GRE�II�ENT�: ' +< . ��. :-_ <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 <br /> issued� ��- ��f so✓� l7. ta i r� 7E'� �..� f�,� 4n� 5«�� �� t� �� S <br /> �• JConh <br /> Demolition by means of: � Manual Disassembly �Heavy Equipment ❑ Other T,-� Ua•oPc�t c� <br /> G cc.Y Co�str�.�E��^ <br /> Permit(s) Issued: ❑ Sewer Disconnection � Well Abandonment# <br /> �l „ - �8�S <br /> In return for issuance of said Demolition Permit,the undersigned owner hereby agree s follows: l,�`6�c'`�� - <br /> 1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> complete. <br />