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� <br /> A <br /> ' CITY OF ORONO APPLICATION FOR DEMOLITION PER�tiiIT <br /> P.O. Box 66 (2750 Kelley Parkway) � <br /> Crystal Bay, MN 5�323 <br /> SPECL4L CO�TDTTIONS & HOLD HARi1�TLESS AGREEME�'T <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burnin�, well abandomm�ient, etc. <br /> 2. Work 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 SITE ADDRESS: �`/�o -`J" �f�« /i n� Dr i r e- <br /> Occupancy Type: ,/ Residential Commercial <br /> OWti'ER'S NQutiIE: Alf��d �����.s�r� Phone: y7� -8�'4'9 <br /> Mailing Address: �yio S,fo�` i,"„ � D� :�� Ciry: D�on o <br /> COt11'IRACTOR'S NA11�: �cn��� �/o m � s .Zn� Bus. NO.: �/7�-o S s/B <br /> Mailing Address: Go i C�.-/.�h l�k.✓y City: <br /> Demolition if planned by means of: manual disassembly <br /> _�/ heavy equipment <br /> burnin; (by fire department) <br /> Permiu Issued: <br /> # Burning Fire Department <br /> # Well Abandonment <br /> In retum for issuance of said Demolition Permit, the undersi?ned 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 /> complete. <br /> 2. Demolition debris will be kept off adjouung property and/or the public rights-of-way <br /> unless 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 reoulations. <br /> 6, Inspection required when all debris has been removed, before bacl�'�ilin;. <br />