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c-16:1003 �4:43pm From-CITY OF ORONO +9522494616 T-539 P.001 F-339 <br /> . � �� [ I � � � � <br /> , / - ��7 I� <br /> � �--�,,M`�e� . � ( ���'� <br /> CITY �F ORONO APPLICA'I70N FOR DEMOLITION PE1tMIT <br /> P'.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 55323 �� <br /> � � <br /> SPECYAT. CONDITIONS &HOLD AAR�.ESS AGREEMENT � <br /> General Instructions <br /> 1. You may be requued to obtain other permits, i.e.well abandoumment,etc. <br /> 2. Work must not begi.n unless the permit cazd is available on the job site. <br /> 3. A 24 hour notice is required for all inspections. CaII(612)249-4600. <br /> JOB SITE ADDRESS: � 4��� ���\;� �`;..� <br /> Occupancy Type: Residential Commercial <br /> OWNER'SNAME: � � �Q�2 �E'v�1C; c-�-. Phone:�`�St�q��-DS�o <br /> Maili.ng Address: � q-'��I ��a,�1;�.0 �'.,-e Ciry: ����c� <br /> CONTRACTOR'S N�iME: `Sa-e;•.�T ��\�nj.�-. L�L Bus.No.:C`�j L q1�3--543� <br /> Mailing Address: 1 �5`� ►J1���efi'o•�.� f3��d �' City: �,a��i'� <br /> Demolition if planned by means of: _�manual disassembly <br /> ��-heavy equipment <br /> Permits Tssued: <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit,the undersigned owner 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 /> 2. Demolition debris will be kept off adjoining property andlor the public rights-of-way unless <br /> 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 Heaith llepartment regulations- <br /> 6. Inspection required when all debris has been removed, before backfilling. <br /> � <br />