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� � , �� <br /> , � <br /> � �� - �� <br /> � � <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERNII �� � <br /> P.O. Box 66 (2750 Kelley Pazkway) � 1 �Ib <br /> C stal Ba , NIN 55323 �� 1� <br /> rY Y <br /> ' SPECIAL CONDITIONS & HOLD H�iRMi,ESS AGREEMENT <br /> General Instructions <br /> 1. You may be required to obtain other pernuts, i.e. well abandonmment, etc. <br /> 2. Work must not begin unless the permit cazd is available on the job site. <br /> 3. A 24 hour notice is required for all inspections. Call (612)249-4600. <br /> JOB SITE ADDRESS: L � S (p �,, ,� �.3 -., ���{ <br /> Occupancy Type: ��esidential Commercial <br /> OWNER'S NAME: � ��-�?�z ,�; ,:�A �..� � S � •� Phone: `� S� - y 7 � �- 3 G � <br /> Mailing Address: �j// �' S � {--� ✓'�u� }�:r City: � ,� , ,� <br /> CONTRACTOR'S NAME: Ci ,��, -.� r �'� Bus.No.: <br /> Mailing Address: City: <br /> Demolition if planned by means of: m ai disassembly <br /> eavy equipment G c�; �t ' t <br /> y <br /> Permits Issued: <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 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. Inspection required when all debris has been removed, before backfilling. <br />