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� 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 /> 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: a�j U ��e.�,n ��� <br /> Occupancy Type: � Residential Commercial <br /> OWNER'S NAME: �-.��,�.1� L , C�a,,.,� �es:g^�'�ione: °15 a -43S -Srti ra <br /> Mailing Address: 5 5o d L;,.�o�n D F. City� Ed�„�d m N. <br /> �b 5�15-355 <br /> CONTRACTOR'SNAME: KG,,;-�k Excawa+��, Z„t. Bus.No.: �3�,��N���y�_ <br /> Mailing Address: 3 3 3 5 .Pe�,�S��,,s,,;� 4„�. N. CitY�___s.���1 <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 />