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- � <br /> • ' / � / �% <br /> . �. ��,�y� �l <br /> �i��-( <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (2750 Kelley Pazkway) \�( l.�� <br /> Crystal Bay, MN 55323 � �% <br /> �U <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT � O , <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. well abandonmr�ient, 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: 13 a s �Uh��ti,.,� �► . <br /> Occupancy Type: __�Residential Commercial <br /> Y r�7r�G 1 �('P,�/L�-� <br /> OWNER'S NAME: � Phone:�5 a-�1 a S--��}�� <br /> Mailing Address: City: <br /> G���_ c�y�__ �c�a� <br /> CONTRACTOR'S NAME: ,� Z �}c ' �' (� , i us.No.: <br /> Mailing Address: D � City: ,,,�� tY�1 .�S 3l� <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 o�vner hereby agrees as follo�vs: <br /> 1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> complete. <br /> ?. Demolition debris�vill be kept off adj oining property andlor the public rights-of-�vay unless <br /> specific prior approval is obtained in writing for temporary use thereof. <br /> ;. 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�vells must be abandoned in accordance�vith State Health Department regulations. <br /> 6. Inspection required when all debris has been removed, before backfilling. <br />