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. . �o�� �i� <br /> �� ` �� �,� '"�� .�? <br /> =�� ��'�, �. <br /> ' . / ` ,��; `��` <br /> � <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT ���`��' � <br /> P.O. Box 66 (2750 Kelley Parkway) � `(' .\�� <br /> Crystal Bay, MN 55323 ��UU� � <br /> '�d <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. well abandonment, etc. f�� yOG�-7 <br /> 2. Work must not begin unless the permit card is available on the j ob site. �����oS <br /> 3. A 24 hour notice is required for all inspections. Call (952) 249-4600. <br /> JOB SITE ADDRESS: //7�S SI xr�{ A'fE, f,. <br /> Occupancy Type: _�Residential Commercial <br /> OWNER'S NAME: �ic. �t—GA�IE ��J�4� Phone: <br /> Mailing Address: City: <br /> CONTRACTOR'SNAME: �� {�Y��-�����t�, Bus.No.: -�iS�—'`�'7Co �S`�`I`1 <br /> MailingAddress: �8'SZ'� ��hl�[b� �a��Y� City: �a�WJqs <br /> Demolition if planned by means of: manual disassembly <br /> ( heavy equipment <br /> Permits Issued:� <br /> # �� Well Abandonment <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as follows: <br /> l. 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 writing for temporary use thereof. <br /> 4 x� <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. Sewer and water must be disconnected at the services at the street by qualified contractors. <br /> 7. Inspection required when all debris has been removed, before backfilling. <br />