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.� � � '.J /-1 �� '-/7 0 <br /> � �30 .5� <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (2750 Kelley Parkway) . <br /> Crystal Bay, NIN 55323 <br /> SPECIAL CONDITIONS & HOLD HARIVII.ESS AGREEMENT <br /> General Instructions � <br /> 1. You may be required to obtain other permits, i.e. well abandonmment, etc. <br /> 2. Work must not begin unless the permit card is available on the job site. <br /> 3. A 24 hour notice is re uired for all inspections. Call (612) 249-4600. <br /> _�3��: <br /> JOB STTE ADDRESS: ��;j� S61 O r�l,!�� , /��_��-�� Ct��"/`'� J���- ��5.�cr�. <br /> Occupancy Type: Residential �Commercial <br /> O`Vir7ER'S NAME: �c� h �`�� ��,r �' �1�� �� Phone: � 7��'`� <br /> Mailing Address:��c�� l.�i'�.,.�' Y! �e�' � n , City: �r2 �l ,j��� � <br /> CONTRACTOR'S NAME: '— f�• �I ��� " Bus. No.: y'l'-3>.l?.S � <br /> Mailing Address: Ci •�` /` t `•� Gy City: /�/c��G�-/'>^� /�.� . ;S 5 3�.Z <br /> Demolition if planned by means of: _�manual disassembly <br /> heavy equipment <br /> Permits Issue � <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as 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 adjoining property and/or the public rights-of-way unless <br /> specific prior approval is obtained in writin� 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 regulations. <br /> 6. Inspection required when all debris has been removed, before backfilling. <br />