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�����"� City of Orono FOR CITY USE ONLY <br /> ���f�O�� P.O.Box 66 Date Received: Permit# <br /> �; � 2750 Kelley Parkway <br /> �"��;- � C stal Ba MN 55323 <br /> �� � �� �' rY Y. Amount: $ SAC Credir <br /> ��:�;�,;,'. a (952)249-4600 <br /> `��O~�'� Homeowner(s)Signed: .�Yes <br /> Resolutions(if any)Signed:�Yes ❑None Required <br /> Zonin Disclosure Si ed: ❑Yes 8 None R uired <br /> CITY OF ORONO-DEMOLITION PERMIT <br /> (All permits must be approved by the Building Official and/or Zoning Department) <br /> 3ob Sit�;#�u�Z�`<: „ �rf`r�t��..'=.„ <br /> Type: �Residential ❑ Commercial <br /> Site Address: 27QR �t4Sf�tJ'� �� , OQD�� , �JII�J �-'�3 g I_ <br /> Owner: `�FY,tJc�'iZ , �v�2L�- �eS�QH Mailing Address: �31�„S� ch�o�n� ci�g,� �„p <br /> City: ���� 'PQp►-a.p�.F_ Zip: �53��„ <br /> Home Phone: Alternate Phone: <br /> Cc��r1���;:���� t����:. <br /> Contractor/App.: SToiJ��+Jc�o� � t.LC. Contact Person: SV��1GvS�lt-F�St�f <br /> Address: 7'io'j ��YLA'f'I°r G3 LVp State License#: 2oSS�131 S <br /> City: �1QtS Zip: SSLI�.` Expiration Date: �-3) -1� <br /> Phone: �157--�04 7� S'�g o Alternate Phone: <br /> .«�.s. ;L��� ..�.,. �'����;.���������S i��"a`r�T���'IE�T"I', <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 /> 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 />