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' Feb-U;-20D3 09:41am From-CITY OF ORONO � +g522494 16 T-891 P.002/O11 F-301 <br /> . � � /��v <br /> c . � t � � <br /> Y� <br /> APPLTCA,TYON F012 D� OLYTION PERMY"T � 2'(�� <br /> CITY OF ORONO � �Z <br /> P,O. Box 6b (2750 Ke�lley 1'arkway) <br /> Crystal Bay, N!N 55323 <br /> SPECY�L CONDI'��dNS &T�OLA �IARMLESS AGiZ.EE1VI�NT <br /> General Instructions <br /> 1, You raay be r�:quired to obtair�other perm.its,i.e.well abandonznment, etc. <br /> 2, Work musC nc�t begin unless the permi�card is available on the job site. <br /> 3. A 24 hour notice is required for all inspections. Call(6I2)249-A�600. <br /> dOB SXTE ADDRESS: � C}� S !"' Gl�' E' �d C- � <br /> Occupancy Type: �ResidenCial Commercial <br /> 7 <br /> OWNER`SNA.ME: /^ �t'�-�/°S'4 l:� Phone: ���' �S� ' (J��� <br /> Mailing A.ddress: ��l �t' ��' �` City: �-! y' �o' ' C� <br /> CONT�2ACTOR'S NAME: ` �K� G� d us-r'� ���. h�Sus.No.: ��.2- �G�- ' �s 3 <br /> Mailing Address:� Q � ' City: ; 0 q!9 Q� <br /> l�emolition if planned by means of: manual disassembly <br /> ��heavy equipment <br /> Permits Issued: <br /> # Well Abandonment <br /> Tn return far issuance of said Demolition Permit,the undersigned owner hereby agrees as follo�vs: <br /> 1. The structur�:(s) shall be kept enclosed and/or secured until such time as demolition is <br /> complete, <br /> 2. Demolition ciebris wi11 be kept off adjoining property and/or the publia rights-of-way ural.ess <br /> specific prio;c approval is obtained in writing for temporary use thereof. <br /> 3. Poundations sh.atl be completely removed from the ground. <br /> 4. All demoliiion debris shall be completely disposed of off site in accordance �vith all <br /> applicable PCA requisements. <br /> �. Water wells must be abandaned in accvrdance with State�iealth Department regulativns. <br /> 6. Inspection r�qnired when alI debris has been removed, before backfilling, <br /> . <br />