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� �� -z 2 ���G <br /> . , !� <br /> ,. � -�� �` . �, �"��� <br /> . <br /> K <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 abandonmment, 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 (612)249-4600. <br /> JOB SITE ADDRESS: /oZ 7d S /� r � c � �C cz c, � <br /> Occupancy Type: �_Residential Commercial <br /> OWNER'S NAME: �e�n�- C�� ���h��. i^�L�C �D�r�Phone: �7`_ 7��� <br /> Mailing Address: City: <br /> CONTRACTOR'S NAME:��,T��1� ���o��_Bus.No.: '�3- �7�-� �7`� <br /> Mailing Address: g e �c ��'� Cit3'� ���.rt�� <br /> Demolition if planned by means of: manual disassembly <br /> �ieavy equipment <br /> Permits Issued: � <br /> # Well Abandonment s�c-��-S �'�`� ��-5 � '�o v <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 />