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- ' . � $D. SD �a,�e,�p .40 7��3 <br /> g-�-�� 8"�-°�` <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERNIIT <br /> P.O. Box 66 (2750 Kelley Pazkway) <br /> Crystal Bay,MN 55323 <br /> ' SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> General Instructions <br /> 1. You may be required to obtain other pernuts, i.e. well abandonmment, etc. <br /> 2. Work must not begin unless the permit cazd is available on the job site. <br /> 3. A 24 hour notice is required for all inspections. Call (612) 249-4600. <br /> JOBSITEADDRESS: ��y� �j�1a�y� �Do�r� /�D�u <br /> Occupancy Type: �_Residential Commercial <br /> � <br /> OWNER'S NAME: �o� �' �Ok�/�'� _��,�J� �v Phone: <br /> Mailing Address: City: <br /> CONTRACTOR'SNAME: ,s�i�/P� ff,o�O�eG�u�,/ Bus.No.: ���-�f?3-,Sr/3s <br /> Mailing Address: �g3 Yv �'!;,✓,v� ti �/��( City: �/Q�� <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 />