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-� �/��.3� <br /> 5� <br /> . � �� ���'�c <br /> � 1 s�r��� � �,;�� <br /> � � �� �� <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT �J�� � <br /> P.O. Box 66 (2750 Kelley Parkway) ����`J`'`'�� <br /> Crystal Bay, MN 55323 �,_j W.�� _ <br /> ����f <br /> SPECIAL CONDITIONS & HOLD HAR�VILESS AGREEMENT � <br /> General Instructions <br /> l. You may be required to obtain other permits, i.e. well abandomnent, etc. <br /> 2. Work must not begin unless the pernlit 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: �3�b s��'U�- P 1'jD�"� <br /> Occupancy Type: X Residential Commercial <br /> OWNER'SNAME: TE��'�"� ��fl�J� Phone: ��Z S6`f da1� <br /> MailingAddress: (b'2..D LdRIN�Q��t�.Q_ City:�nlNN�Z�S�A SS 3��/ <br /> I <br /> �'L':�I'a'�RACTOR'S NAME: �D�t�.o�0 ���I���"'�Bus.No.: �S2 `i'1 ! �S$`r <br /> Mailing Address: S P,r.,�. �f�� ,c�- City: <br /> Demolition if planned by means of: manual disassembly <br /> _ !�heavy equipment <br /> Pernlits Issued: <br /> # Well Abandonment Sr�tvLr <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agr�es as follows: <br /> l. 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 ixnl�ss <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. �60�n <br /> 6. Sewer and water must be diseonnected at tlie services at the street by qualified contracto�5. <br /> 7. Inspection required wl�en all debris has been removed, before backfillin�. <br />