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4. Submit a $2,500 escrow and an escrow agreement signed by the property nwner(copy attached}. <br /> , 5. Keep ail structure(s} enclased andlor secured untii such time as demalition is compfete. <br /> 6. Keep all demolition debris off adjoining property andfor the public rights-of way unless specific priar <br /> approval is obtained in writing for temporary use thereof. <br /> 7. Completefy remove foundation(s) from the ground. <br /> 8. Gompleteiy dispose of ali demalition debris off site in accordance with all applicabie PCA requirements. <br /> 9. Abandon water wells in accordanee with State Nealth Qepartment regulations. <br /> 10. Call far an inspectian when ail debris has been removed, before backfilling. <br /> 11. Within 5 working days of superstructure removal, a final inspection shall be requested. The site shall be <br /> left clean and clear c�f a(I debris, with any excavatian 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 /> actuaily under construetion�. <br /> 12. Abandon septic systems per Minnesota Rules Chapter 7080. AU septic tanks must be pumped, crushed <br /> and filled with native soils. An inspectian is required af�er the tanks are pumped and before the tanks are <br /> crushed and filied. <br /> 13. The undersigned owner shall and hereby does indemnify and hold harmless the Cifiy of Orono. its agents, <br /> employees and assigns fram and against all clairns, damages, losses or expenses, including attorney <br /> fees, against the Cify; its agents, employees and �ssigns arising out of or resulting from the demolition <br /> described herein as perFormed by the praperty owner, his employees; agents, subcan#ractors or assigns. <br /> PERMIT TYPE AND FEE CALCULATION <br /> �$75.00 — Principal Struc�ure $ <br /> [� $50.00 —Acce�sory �#ructure x ( (how many) ��Cti,'�c�<-��—""�� <br /> / � <br /> 1. Subtotal of above permit requested $ <br /> 2. State Surcharge �.p� <br /> 3. TQTAL PERMIT FEE �add lines 1-2 above) $ <br /> The undersigned nerby appRies to the City of Orona for issu�nce of a Demolition Per►nit, agrees to do <br /> a91 the work in a strict accordance with the ordinances of the Gity and the regulations of the State of <br /> Nlinnesota, and certifies that all statements made on this application are complete, true and correct. <br /> . <br /> Appiicant's Signature: Date. ��� � �'�� �� <br /> t)wner's Signature: � Date: � � � "� <br /> Approved By: Date: <br /> (Buil ing Officiaf) <br /> * Zoning Disclosure Ryquireg? ����YES ❑ NO LQ� u,� � �� - ���� <br /> �This must be filled out b Zonin De °r nt— For either answer, a Zoning Official must sign al applic ions. <br /> � A�praved By: �- �.�,1�� Date: � ' � �'�7 <br /> {Zonin� Official} <br /> �orm Last Updated: July 2Q15 <br /> ��{i?�.:� <br />