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,� .5a�a y� ������; <br /> , ���j G o t Co�n,6 ��r�y <br /> �a,� G���'Cc�l� ,��ta`.n-`�c'�ae„�.a.,c3d" � �D�° <br /> �a� �o •b.e tio-c�,�- <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 /> l. You may be required to obtain other permits, i.e. well abandonment, 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 (952) 249-4600. <br /> JOB SITE ADDRESS: < <-��� ' ��'`�u�`� ��-���' <br /> Occupancy Type: � Residential Commercial <br /> OWNER'S NAME: G"'���''"�'�`� �`��fl�"�'�� Phone: f��—� ����!�JC� <br /> MailingAddress: ��3�1 ��� o�F "v,4w �Z�- City: N � �p�� r t�A�-t� S3kG�8 <br /> CONTRACTOR'S NAME: >T���'�.n' �-`�'�^����������Bus.No.: � S�Z' `�� r�d S��I <br /> MailingAddress: `��2v St�G��e1-tN� ����� City: C�'Z? iv`^ SS3Y,`� <br /> : �°�t�r� �F� <br /> Demolition if planned by means of: manual disassembly <br /> heavy equipment <br /> Permits Issued: <br /> # Well Abandonment ��� � —;-����*':�Ir� `�' �'�'��`'�' ""�L� �-`� \ <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 />