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� . � _ .� ��; /� 7 <br /> � APPLICATION FOR DEMOLITION PER�viIT <br /> ! CITY OF ORO�TO . <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 5�323 <br /> SPECL�L CONDITIONS & HOLD HARi1�TLESS AGREEl�1ENT' <br /> General Instructions <br /> I. You may be required to obtain other permits, i,e. burnin�, well abandonmment, e�c. <br /> 2. �ork must not be�in unless the permit card is available on the job site. <br /> 3. A 24 hour notice is required for all inspections. Call 473-7357. <br /> JOB STTE ADDRESS: .3c`�0 � u�C`r.�//rv . 111� <br /> Occupancy Type: Residential Commercial T� n <br /> � ��� lcl� Phone����f�3 S -�— <br /> oti��R s �r�tir�: -J���rr c� : ,v-��r� <br /> Ma�lm��dd�ss: � . ry ",3-S3o, <br /> i-�-� � <br /> CO�ACTOR'S NA�.I�: Bus. No.: <br /> Mailing Address: City: <br /> Demolition if planned by means of: ����anual disassembly <br /> r/ heavy equipment <br /> burnin; (by fire department) <br /> Permiu Issued: <br /> ## Burnin� Fire Department <br /> # Well Abandonment <br /> In retum for issuance of said Demolition Permit, the undersigned owner hereby agrees as <br /> follows: <br /> 1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> complece. <br /> 2. Demolition debris will be kept off adjoinin� property and/or the public ri�hts-of-way <br /> unless specific prior approval is obtained in writin� 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, Wacer wells must be abandoned in accordance with State Health Department rea lations. <br /> 6, Inspection required when all debris has been removed, before backfillin�. <br />