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riITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> LL P.O. Box 66 (2750 Kelley Parkwayj <br /> Crystal Bay, MN 55323 <br /> SPECIAL CONDITIONS & HOLD HARMLESS 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 /> . � <br /> JOB SITE ADDRESS: 3 e S� 1 YL � u�� <br /> Occupancy Type: �Residential Commercial <br /> OWNER'S NAME: �� � � S L�C Phone. � 3 �� �{� � <br /> Mailing Address: �SDD I�.(� P�-SD v� �a�P_S City: YK.��e � �; v��, t1/l� <br /> � �- S�3S� <br /> CONTRACTOR'S NAME:�� l i ni S Bus.No���a-��3g—4 l 33 <br /> Mailing Address: �t �{(�, ��.� � City: �,o��', � S <br /> Demolition if planned by means of: manual disassembly <br /> �heavy equipment <br /> Permits Issued: <br /> # Well Abandonment <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 andlor 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 />