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1 - •_, <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (2750 Kelley Parkway) . <br /> Crystal Bay, NIN 55323 <br /> SPECIAL CONDITIONS & HOLD HAR1l�II..ESS AGREEMENT <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. well abandonmment, etc. <br /> 2. Work must not begin unless the permit card is available on the job site. <br /> 3. A 24 hour notice is required for all inspections. Call (612) 249-4600. <br /> JOB SITE ADDRESS: 2�o�S`� L�I►�`Z ��� � � <br /> Occupancy Type: _�_Residential Commercial <br /> OWNER'SNAME: l/lGk��l:�`�'lF��l SGa� � �.r��-4�cP Phone:�7 3 - 7�10 <br /> Mailing Address: 54ri�� �- _City: o�N a <br /> CONTRACTOR'S NAME: Ty/am-4s f3R��v ����'S Bus. No.: ��9 �7 7� <br /> Mailing Address: �Sz C� ���i�n �%v�/a Cl�. ��Gf: /�L�%N �5 355 � <br /> Demolition if planned by means of: manual disassembly <br /> �_heavy equipment <br /> Permits Issued: �6,y <br /> # Well Abandonment (� �,� �y ��,�,m�;�¢ i,✓��L D�-r��i nf�� <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as follows: <br /> 1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> complete. <br /> 2. Demolition debris will be kept off adjoining property and/or the public rights-of-way unless <br /> specific prior approval is obtained in writing for temporary use thereof. <br /> 3. Foundations shall be completely removed from the ground. <br /> 4. All demolition debris shall be completely disposed of off site in accordance with all <br /> applicable PCA requirements. <br /> 5. Water wells must be abandoned in accordance with State Health Department regulations. <br /> 6. Inspection required when all debris has been removed, before backfilling. <br />