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� .�--� t , � <br /> � � !�,� � ,.� ' <br /> � , " �. t�� y�.. � �- � Q.��� ♦ <br /> � - � ..- i <br /> 4. Submit a $2,500 escrow and an escrow agreement signed by the property owner(copy attached). <br /> 5. Keep ali structure(s) enclosed and/or secured until such time as demolition is compiete. <br /> 6. Keep ali demolition debris off adjoining property and/or the public rights-of way unless specific prior <br /> approval is obtained in writing for temporary use thereof. <br /> 7. Completely remove foundation(s) from the ground. <br /> 8. Completely dispose of all demolition debris off site in accordance with all applicable PCA requirements. <br /> 9. Abandon water wells in accordance with State Health Department regulations. <br /> 10. Call for an inspection when all debris has been removed, before backfilling. <br /> 11. Within 5 working days of superstructure removal, a final inspection shafl be requested. The site shall be <br /> left clean and clear of all debris, with any excavation filled with earth level with the adjacent ground <br /> elevation (except when such excavation is to be used as part of a new building and such new building is <br /> actually under construction). <br /> 12. Abandon septic systems per Minnesota Rules Chapter 7080. All septic tanks must be pumped, crushed <br /> and filled with native soils. An inspection is required after the tanks are pumped and before the tanks are <br /> crushed and filled. <br /> 13. The undersigned owner shall and hereby does indemnify and hold harmless the City of Orono, its agents, <br /> employees and assigns from and against all claims, damages, losses or expenses, including attorney <br /> fees, against the City, its agents, employees and assigns arising out of or resulting from the demolition <br /> described herein as performed by the property owner, his employees, agents, subcontractors or assigns. <br /> PERMIT TYPE AND FEE CALCULATION <br /> _ $75.00 — Principal Structure � `���1�'�,� $ <br /> f'� <br /> � $50.00 —Accessory Structure x � (how many) ��• �� <br /> 1. Subtotal of above permit requested $ <br /> 2. State Surcharge 1.00 <br /> 3. TOTAL PERMIT FEE (add lines 1-2 above) $ S� � �� <br /> The undersigned herby applies to the City of Orono for issuance of a Demolition Permit, agrees to do <br /> all the work in a strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and correct. <br /> Applicant's Signature: Date: � ����6 <br /> Owner's Signature: �' Date: � � �g �� � <br /> Approved By: Date: �P 7 �� <br /> (B ilding Official) <br /> * Zoning Disclosure Required? ❑ YES ❑ � <br /> "This must be filled out by Zoning Department—For either a�is er, a Zoning Official must sign all applications. <br /> * Approved By: �N UN l�1� �'V�.�Y I'�- Date: U/'lY• �� <br /> (Zoning Official) <br /> Form Last Updated: July 2015 <br /> 150784 <br />