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� Z_2� -0,6 �D gbol� <br /> , - � -i�=o� <br /> �`5o s° <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay,MN 55323 <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. well abandonment, etc. <br /> 2. Work must not begin unless the permit card is available on the job site. <br /> 3. A 24 hour notice is required for all inspections. Call (952) 249-4600. <br /> JOB SITE ADDRESS: �O �� �5�� 4� <br /> Occupancy Type: _��Residential Commercial <br /> � / 7" . �%'d'7��J <br /> OWNER S NAM�: -�-��t.l�'G� �fe- Phone: /oZ— S� `�� <br /> Mailing Address: p. City: Q /� <br /> �� `� <<-C�i —7 <br /> C01�1�'RACTOR'SNAME: �- S��r�,S?-�c_�S�Bus.No.: (p la— 5�—�! (P� <br /> Mailing Address: City: �, � <br /> Demolition if planned by means of: manual disassembly <br /> �_heavy equipment <br /> Permits Issued: <br /> # Well Abandonment 1 G��„�,Q,� � � ��� <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 approvaY is obtained in writing 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. 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 />