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DocuSign Envelope ID:20128BC6-0784-4E3A-BCEC-625DCFF04752 t55 <br /> (AO ( n au 2 vt i, <br /> 51 . LoII( <br /> *0.,0T City of Orono OXpfp[SpEennOiNtLQ n P.O.Box 66 Date Received: #vlo! U �w�� <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Amount $ SAC Credit: <br /> (952)249-4600 <br /> y Homeowner(s)Signed: ❑Yes <br /> Resolutions(if any)Signed:❑Yes ❑None Required <br /> K�gE{O� Zoning Disclosure Signed: ❑Yes ❑None Required <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (All permits must be approved by the Building Official and/or Zoning Department) <br /> Job Site / Owner Information:` ri "t'�` <br /> Type: ❑x Residential ❑ Commercial <br /> Site Address: 2645 CASCO POINT ROAD ORONO MN 55391 <br /> Owner: SENDERO PROPERTIES, LLC. Mailing Address: 7850 El Sendero#10 <br /> Pall Cavanaugh <br /> City: Scottsdale, AZ Zip: 85262 <br /> Phone: 612-812-1391 Email: pattcavanaugh@gmail.com <br /> Contractor/Applicant Information: <br /> Contractor/App.: Everlast Enterprises. Llc. Contact Person: Jim Cleary <br /> Address: 4109 NO Shore Drive State License#: BC591566 <br /> City: Mound Zip: 55364 Expiration Date: 3-30-19 <br /> Phone: 612-868-0748 Email: Jim@EverlastEnterprises.com <br /> SPECIAL CONDIT ;} S& HOLD HARMLESS AGREEME <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 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. <br /> Form Last Updated: July 2015 'l RECEIVED <br /> 150784 �� / <br /> APR 12 2018 <br /> CITY OF ORONO <br />