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� <br /> • , � � � <br /> , •� f�� <br /> � �� _� <br /> , . �, y�a <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT ����� <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 55323 <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> General Instructions <br /> l. 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 /> JOBSITEADDRESS: ��f��`� ���1-�� ��� �j �"� <br /> Occupancy Type: �_Residential Commercial <br /> OWNER'S NAME: 1� -�rj�� { U i l j rti`� �.�•�y.t�L�,<.. _Phone: 7��- S��-�a37 <br /> Mailing Address: City: <br /> CONTRACTOR'S NAME: �����u � �� ���� �:��i r-• (-� � Bus.No.: `�5�-i��_5�-��_v'1� <br /> MailingAddress:_�� I �s �,7`� ���T(l� i>Z���� City: (. , �.�-�-,�_ �y�2,�� SS3`i1 <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 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 />