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From 03-KMCL-PR Mon 17 Oct 2005 04:27:55 PM MST Page 3 of 3 <br /> R. Witlnn 5 tvorking da}�s ot superstr�ucR�i�:removal,afinal u�specu�>��.�h�ll be reyuested. The <br /> site sht�ll bc]c:t'i cle'u�alld clear of all debri�,��ith any exca�anon filled wi ih n�rt�l le�el�vitki <br /> the �u3ja�:enr r,1��und zle��atio�l(except wl��:r, sueh ez�car��ation is to be u.ccl ;�s part of a ne�v <br /> � -tnuldin� a,�d such new building is actually under co�istruetion). <br /> 9. The undersigned owr�c•1 shall and hereby ilocs indemnify and holct h;�mless the Citv of <br /> Orono, its agents, employees and assigns from .�rld against all cla.ims, darnarc,�, lo;ses or �- <br /> expenses,including�att�rney�fee5,agFtinsttheCity,its agents,employees and assi��n;�,nsing <br /> out of or resul�ng fromtlie demolition described herein ns performed by the properry c����ner, <br /> his employees, agents, subcc,ntractors or assigns. <br /> ]0. Septic systems must be 3b�ldoned per Minnesota Rules Chapter 70k0. ,all septic tnnks must <br /> bepumped,crushedandfilledwitllnati�-esoils, Aniu<;��ectianisreqwredafterthetanks�r�� <br /> p'umped and before th'e tanks ;,rc cnisfied��d filled <br /> pER]rilT TYPI: AND FEE Ca[.Ci1[.�`1�ruN <br /> . ✓ $50.00- Principal Structure <br /> ✓ $30.Q0-Access�rv StructUre <br /> 1 Subcotal of��hnvc pc;nu� requested � eo.00 <br /> �. State Surcharge � SU <br /> :�. TOTAT, pERMTT FEE(add lines 1-2 abovc) � ao.so <br /> The undersigned hzreby applies to the Ciry of Orono for issuance of a Demolition Pernvc,ahrees to <br /> do all work in strict accordance r��di the ordinar�ccs of the Ciry and the regulauons of 1he S�,�to of <br /> Minnesota;and certifiec that a]1 statements mule on this application are completa,tnie and cuirect <br /> APPLICANT'S STCYNATUItE: � Date, jp -- (�-f��� <br /> OWIVER'SSYG�NAT[JRE: ..... _ Date_ ��^ � 7��S <br /> APPROVEDBY: �, ... _. Date: ID ' (�('O� <br /> � i dic�Of�icinlj <br /> "'ZONING DISCLOSURE REQ�IIRED? • •Yt?� - NO <br /> " This Must Be Fillcd Out By Zon:ng l�epa�lmenl - rn� i'.;ihra Mswer, A 7.onrng Official Must Sign All <br /> Applicntions <br /> �APPROVED BY: ,��I�,�.� _ . _...._....._. bate; �b I�1 �'� <br /> (Zoning Ofticial) <br /> ; <br /> ul�� ' i <br /> ,: �et':i�t�tt� � <br /> ' ., .. �. ;;;� <br /> � ' ;1 4tii1, ' �61 IIiP� R�1� 7;� �;Il��lflll�lil �i��l�� l �(I(1Cl�i l�'J�IG� ; F ';��? ' CI ' ;�il <br />