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4. Submit a ;�2,500 escrow and an escrvw agreement signed by the property owner(copy attached). <br /> 5. Keep all structure(s) enclosed and/or secureri until such time as demolition is complete. <br /> 6. Keep all demolition debris off adjaning properfy and/or the public rights-of way unless speafic prior <br /> approval is obtarned in writing for temporary use thereof. <br /> 7. Completely remove foundation{s)from the ground. <br /> 8. Completely dispose of all demolition debris off site in accordance w�#h all applicable PCA requirements. <br /> 9. Abandon water wells in aocordance with State Health Department regulations. <br /> 10. Call for an inspec6on when all debris has been removed, before badc�lling. <br /> 11. Within 5 working days of superstrudure removal, a final inspection shall be requested. The site shall be <br /> left clean and clear of all debris, with any excavation filled w�#h earth level with the adjacent ground <br /> elevation (except when suc� excavation is to be used as part of a new building and such new building is <br /> actually under construction). <br /> 12. Abandon septic systems per Minnesota Rules Chapter 7080. All septic tanks mus# be pumped, a-ushed <br /> and ftlled with native soils. An inspection is required after the tanks are pumped and before the tanks are <br /> cxushed and filled. <br /> 13. The undersigned owner shall and hereby does indemnify and hold harmless the City of Orono, its agents, <br /> employees and assigns from and against all daims, damages, losses or expenses, including attorney <br /> fees, against the City, its agents, employees and assigns arising out of or resulting from the demolition <br /> described herein as performed bythe property owner, his employees, agents, subcontractors or assigns. <br /> PERMIT TYPE AND.FEE CALCULAl10N <br /> ,-, ,� ��� .f �� r ��r,:�ti� , � �� <br /> � � �' � � $ �s, r.�, <br /> �' $75.00 – Prineipal Strueture �.'`�,, ��- <br /> ❑ �5U_UU –Accessory Structure x (how many) <br /> 1. 5ubtotal of above permit requested $ <br /> 1. 5tate 5urcharge 1.UU <br /> 3. TOTAL PERMIT FEE (add lines '[-2 above) $ �76- "— <br /> The undersigned herby applies to the City of Orono for issuance of a Demoli#ion Permit, agrees to do <br /> all the worK �n a stnct accordance w�th the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and correct. <br /> Applicant's S ignature: ���--�--=--"" Date: 3 3/�- j � <br /> Owner's Signature: Date: <br /> Appro�ed By: Date: <br /> (Building O�aal) <br /> " Zoning Disclosure Required? ❑ YES ❑ NO <br /> *"This must be filled out by Zoning Department—For either answer, a Zoning Official musf sign all applications. <br /> *Approved By: Date: <br /> (Zoning Offiaal) <br /> Form tasf Updafed Jvly 2015 <br /> 1507&3 <br />