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� <br /> 1'� j � <br /> "` CITY OF ORONO APPLICATIO�' FOR DEMOLITION PER�v1IT <br /> � P.O. Box 66 (2750 Kelley Parkway) � <br /> Crystal Bay, MN 5�323 <br /> SPECL4L COi�'DITIONS & HOLD HARi1�1LESS AGREE_I�NT' <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burninJ, well abandonmment, etc. <br /> 2. Work must not be�in unless the permit card is available on the job site. <br /> 3. A 24 hour notice is required for all inspections. Call 473-7357. <br /> JOB SITE ADDRESS: C� .� r � c c= �r c t" <br /> Occupancy Type: ,t_. Residential Co ercial <br /> Otii�TER'S NQutiLE: rt d " r � c Phone: � ?!— J�'.� 02 <br /> Mailin� Address: � � ,2 � �- �� ;�a ���,�1 � Ciry: C�r� h �� <br /> C0�1'TRACTOR'S NAi12E: �� ,l1�rs�� J� � s���� �nc� Bus. No.: s�=�:� :�7�(� <br /> Mailing Address: City: <br /> Demolition if planned by means of: manual disassembly <br /> _� heavy equipment <br /> burnin� (by fire department) <br /> Permits Issued: <br /> # Burning Fire Department <br /> ## Well Abandonment <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as <br /> follows: <br /> 1. The structure(s) shali be kept enclosed and/or secured until such time as demolition is <br /> complete. <br /> 2. Demolition debris will be kept off adjoinina property and/or the public rights-of-way <br /> unless 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 rea lations. <br /> 6. Inspection required when all debris has been removed, before bacl�'�lling. <br />