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• r <br /> 1 <br /> � 2. Demolition debris�vill be kept off adjoining property and/or the public ri�hts-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, A(1 demolition debris shall be eompletely disposed of off site in accordance �i-ith al( <br /> applicable PCA requirernents. <br /> 5. Water��ells must be abandoned in accordvlce with State Health Deparnnent regulations. <br /> 6. [nspection required�vhen all debris has been removed, before backfilling. <br /> 7. Within 5 working days of superstructure removal, a final inspection shall be requested. The <br /> site shall be left clean and clear of all debris, with any excavation filled ���ith earth level with <br /> the adjacent ground elevation (except when such excavation is to be used as part of a new <br /> building and such new building is actually under construction). <br /> 8. Septic systems must be abandoned per vlinnesota Rules Chapter 7080. All septic tanks <br /> must be pumped, crushed and filled with native soils. An inspection is required after the <br /> tanks are pumped and before the tanks are crushed and filled. <br /> 9. The undersigned owner shall and hereby does indemnify and hold harmless the City of <br /> Orono, its agents; employees and assibns from and against a(1 claims, dama?es, losses or <br /> expenses, including attorney fees, against the City, its agents, employees and assigns arising <br /> out of or resulting from the demolition described herein as performed by the propert}� owner, <br /> his emplo}�ees, agents, subcontractors or assigns. <br /> PERMIT TYPE AND FEE CALCULATION <br /> �75.00 —Principal Structure �N�Yz-io2 ��s <br /> ❑ $�0.00 —Accessory Structure (how man� (what) <br /> 1. Subtotal of above permit requested $ <br /> 2. State Surcharge ' $ �.00 <br /> 3, TOTAL PERMIT FEE (add !ines 1-Z above) $ <br /> The unders�gned herby applies to the City of Orono for issuance of a Demolition Permit, agrees <br /> to do all the work in a strict accordance with the ordinances of the City and the regulations of <br /> the State of Minnesota, and ertifies that all statements made on this application are complete, <br /> true and correct. <br /> , � . <br /> Applicant's Signature: -�� Date: � �� � �L��� � <br /> l - - i <br /> Owner's Signature: '"��� ,� Date: 7 �Z Z�I� ' <br /> Approved By: �'�� Date: � - 6 -- �� <br /> ( ui]ding Officiai) <br /> * Zoning Disclosure Required? ❑ YES ❑ NO <br /> '�This must be filled out by Zoning Department—For either answer,a Zoning Official must sign all applications, <br /> * Approved By: `� �� Date: <br /> (Zoning Official) <br /> Reset Form <br /> ; <br /> Z 'd S9S�bE�i StrEZ T dL�b �t�0 0 T ZO i�C <br />