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From 03–KMCL–PR Mon 17 Oct 2005 04:27:55 PM MST Page 2 of 3 <br /> � �S �1693/ � <br /> . � a,D <br /> �o'� /o-/S-D� <br /> ���ss <br /> CrTY UF ORONO AI'rLYCA7'Y(1N FOR ll1:MQ�,ITrUN i�ERMI'I' <br /> l� 0. Box 66 (275�I�.clley l�arkway) <br /> Cr��stal $ay, �iT; >j323 <br /> SYI?CIAL COTU[TIONS � �TOLb IlARti1L��ti .4GREEMI�',NT <br /> eur,rel Instructions <br /> -- ------- <br /> -- ----- ------....--- -—�-------- --- <br /> 1. You may bc required to ol,iain other j�ernuts, i c �vell aba��clonmant, etc <br /> 2. Work musr not begin u,�le.ss the pc��rnc card is �i�railable ou �he�ub sitc. <br /> 3. .4 24 hour no�.ice is requirccl for a1l inspections. (�all (9�2) 2a�-a600. <br /> JOB SIT�ADDRESS: 134�Rest Poin�Lnnc <br /> Occupancy Type: �✓ Residennal Commerci�l � <br /> O'WNLR'S NAME: D°°g K]'nt Phori�:�602)570-5'/3A <br /> Mailing Address� :96AS N�7th Place cl�' Sc�itaddle,A2 952(2 <br /> CONTRACTOR'S N.�MT; �'�'oodstone t�uildcrs Bus.No.: (�s?i eos-sFs: <br /> MdlllTle E�adPCSS: 9333 Penn Avr.nue 5outh � Cj�, Blootnington,MN 55431 <br /> Demolipon if planned by me,lt�s of: m�nu,tl d►sassem�lv <br /> J heavy equipment <br /> Pennits Issued: <br /> #_. �Vell Ab�u�don�r�nt <br /> In rehim for issuance of s�id Demolic�on Pzrrrut, ihe undea�s�bnec� u��er hereby �grees as fnllu���s <br /> l. Ihe stn�cltir�(s) shall be kr,��t enclosetl ,u�d/or securcc� unul such unae as demolition is <br /> compleic <br /> �., Demoliu�,n debris rvill be kept off adjoining property nad/or the public ia�hts-of-way unless <br /> specific pnor approvaJ is�htained in w�lting for tei►in�rar}� usz therenf. <br /> 3, �'oundations shall be complece(y removed Cromthe ground, <br /> �. All demolition debris shall be completely disposed of oCf site in accoidance wid� all <br /> appl►cable F'C;1 requiremetlu. <br /> 5. Water wells m��st be abandoned in accordancc w�ith State Henith Departinern �egulaU�ns, <br /> 6. Sewr.r and water must be cUsconnectee�at the serv�ces at the street by Gualifted coutractors. <br /> 7, 1nsp�cTaon required whcn all debns li;,s been ren�i,ved, before h�e-1;tilling, <br /> i � CtiJJ 'ON Illp R(lu 7,^w c'�]/l'ili�n ���n� nnnnn i� i�n , n n��„ , � . , ,,, <br />