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r• .."i1 <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 . <br /> Crystal Bay, MN 55323 <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> **�***:***:*:�*******t***:���******�****�****�************�****���**�***** <br /> General Instructions <br /> l. You may be required to obtain other permits, i.e. burning, well. <br /> abandonmment, etc. <br /> 2. Work must not begin unless the permit card is available on the job <br /> site. <br /> 3. A 24 hour notice is required for all inspections. Call 473-7357. <br /> *�*********t****�*#**�*�****�:***�*******�**�*******��******�*��*********:* <br /> Jos sz� �nx�ss:������L�,� % ��e lA,y�1�%/� �,v �-�39'i <br /> Occupancy Type: �Re idential ommercial <br /> OWNSR'S NAME:������,.�c 7s ,�ff i. f�i�iL/ Phone: �����,,���� <br /> Mailing Address: City: <br /> CONTRACTOR'S NAtKE:����_��_�X -�./ Bu s. No. : �' �i�s Y'-�i� '� <br /> Mailing Address:�:.7�_.� f1��:;����f?y ;_ City:�1�N�.l�,�-�.tl ��3�y <br /> *�*t*****�****��*****t*****:�*****�****:****�**�**�*:*:***:*****�*� *�****� <br /> Demolition if planned by means of: manual disassembly �c heavy equipment <br /> burning (by fire department) <br /> Permits Issued: <br /> # Burning Fire Department <br /> # �'�Tell Abandonment ;;;;)r_'��.�i f%f>j f/i'i.=i�=i; j%�i2 j�f1�%� I �E.�:c�f'�_ <br /> In return for issuance of said Demolition Permit, the undersigned owner <br /> hereby agrees as follows: <br /> 1. The structure(s) shall be kept enclosed and/or secured until such time <br /> as demolition is complete. <br /> 2. Demolition debris will be kept off adjoining property and/or the <br /> public rights-of-way unless specific prior approval is obtained in <br /> 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 <br /> accordance with all applicable PCA reguirements. <br /> 5 . Water wells must be abandoned in accordance with State Health <br /> Department regulations. <br /> 6. Inspection required when all debris has been removed, before <br /> backf illing. <br /> 7. Within 5 working days of superstructure removal , a final inspection <br /> shall be requested. The site shall be left clean and clear of all <br /> debris, with any excavation filled with earth level with the adjacent <br /> ground elevation (except when such excavation is to be used as part of <br /> a new building and such new building is actually under construction). <br /> � �91 <br /> g . 3- ��t <br /> � <br /> � <br />