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. , <br /> ,. <br /> �� `� �,i�1�i ,�+ _ „�,•,-a . ; . <br /> ��,,,,t � ; ..� �` ' t,�i�.� � * t <br /> i ` • �i Keep all'E�emolition debris off adjoining property and/or the public rights-of way unless specific <br /> prior approval is obtained in writing for temporary use thereof. <br /> 6. Completely remove foundation(s) from the ground. <br /> 7. Completely dispose of all demolition debris off site in accordance with all applicable PCA <br /> requirements. <br /> 8. Abandon water wells in accordance with State Health Department regulations. <br /> 9. Call for an inspec�ion when all debris has been removed, before backfilling. <br /> 10. Within 5 working days of superstructure removal, a final inspection shall be requested. The site <br /> shall be left clean and clear of all debris, with any excavation filled with earth level with the <br /> adjacent ground elevation (except when such excavation is to be used as part of a new building <br /> and such new building is actually under construction). <br /> 11. Abandon septic systems per Minnesota Rules Chapter 7080. All septic tanks must be pumped, <br /> crushed and filled with native soils. An inspection is required after the tanks are pumped and <br /> before the tanks are crushed and filled. <br /> 12. The undersigned owner shall and hereby does indemnif� and hold harmless the City of Orono, its <br /> agents, employees and assigns from and against all claims, damages, losses or expenses, <br /> including attorney fees, against the City, its agents, employees and assigns arising out of or <br /> resulting from the demolition described herein as performed by the property owner, his <br /> employees, agents, subcontractors or assigns. <br /> PERMIT TYPE AND FEE CALCULATION <br /> ❑ $7�.00 —Principal Structure $ <br /> �$50.00—Accessory Structure x I (how many) �� �11\.y% <br /> 1. Subtotal of above permit requested . $ <br /> 2. • State Surcharge 5.00 <br /> 3. TOTAL PERMIT FEE (add lines 1-2 above) $ <br /> The undersigned herby applies to the City of Orono for issuance of a Demolition Permit, agrees to do all <br /> the work in a strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and correct. <br /> A licant's Si nature: � ``��'`�'� Date: 3�ZY`" �� <br /> PP g <br /> Owner's Signature: Date: 3 � S / <br /> Approved By: Date: <br /> (Building Official) <br /> X Zoning Disclosure Required? ❑ YES NO <br /> *This must be filled out by Zonin�Department—For eithe nswer, a Zoning Official must sign all applications. <br /> * Approved By: �r � ' '`--� Date: � � <br /> (Zoning Official) <br />