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� ' <br /> CITY OF ORONO APPLIGATION FOR DSMOLITION PERMIT <br /> P.O. Box 66 (1335 So Brown Rd) <br /> Crystal Bay, MN 55323 <br /> � , SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> ***************:****�*#****:**�****************************�**********f*** <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burning, well <br /> _ _:-- --_=. abandonmment, etc. �-- - __.._ ,. _ �.. __.�_.. . .r_,m-�- ..�..yz. ,r_�-. .-�� - .- - ---- - . .--_- _ <br /> 2 . Work must not begin unless the permit card is available on the job <br /> site. <br /> 3. A 24 hour notice is required for all inspections. Call 473-7357. <br /> �#***�#t**********t*t********�*:*#****�**::*t****tt****�tt�***�t*****tf**** <br /> Jos sITS ADDREss: l C� r > J� �C_ r"C I i r i� -��► . ���C��I =S C.�'� �r. <br /> Occupancy Ts rs: Residentzal CommerciaTl� <br /> - . ( _. <br /> OWNER'S NAME: �'_�� 1 G i 5 �l__�C C ��_� Phone: � 1 �...) � � <br /> Mailing Address: , Q� I �7Lo City: � <br /> \ � <br /> CONTRACTOR'S NAME: (�' �[� � � > ' Bus. No. : <br /> Mailing Address: City: <br /> ********�******�***::******:�**:*******:**t*******#**:t*****�*****t::****** <br /> Demolition if planned by means of: manual disassembly �heavy equipment <br /> _burning (by fire department) <br /> Permits Issued: <br /> � Burning Fire Department <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit, the undersigned owner <br /> hereby agrees as follows: <br /> 1. The structure(s) shall be kept enclosed and/or secured until such time <br /> as demolition is complete. <br /> 2. Demolition debris will be kept off adjoining property and/or the <br /> public rights-of-way unless specific prior approval is obtained in <br /> writing f or 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 <br /> accordance with al 1 app licable PCA requirements. <br /> 5 . Water wells must be abandoned in accordance with State Health <br /> Department regulations. <br /> 6. Inspection required when all debris has been removed , before <br /> backfilling. <br /> 7. Within 5 working days of superstructure removal , a final inspection <br /> shall be requested. The site shall be left clean and clear of all <br /> debris, with any excavation filled with earth level with the adjacent <br /> _ ground elevation (except when such excavation is to be used as part of <br /> a new building and such new building is actually under construction). <br />