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A o&70 �- <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: Z33 ROV-0 ko <br /> Occupancy Type: Residential Eereial <br /> OWNER'S NAME: )V 1 �f CeY" Phone:y62,-`�7� �-��� <br /> Mailing Address: 01 City: /'h rte U� <br /> CONTRACTOR'S NAME: L>O - vUig C,,r , Bus.No.: <br /> Mailing Address: City: <br /> Demolition if planned by means of: manual disassembly <br /> � heavy equipment <br /> Permits Issued: <br /> # Well Abandonmentc�, <br /> In return for issuance of said Demolition Permit, the un,4„. 1 agrees as follows: <br /> 1. The structure(s) shall be kept enclosed a , ,^`"` as demolition is <br /> complete. � q <br /> O Y"" <br /> V)e 61 ti <br /> 2. Demolition debris will be kept off adjoining, 0t 5 �is-of-way unless <br /> specific prior approval is obtained in writing <br /> 3. Foundations shall be completely removed frol.. Lne 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 />