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CITY OF ORONO 6124730510 05/18/98 15:35 :02/05 N0:816 <br /> 1// O2-16/ <br /> CITY OF ORONO <br /> APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 55323 <br /> SPECIAL CONDITIONS & HOLD SARti1LESS AGREEMENT <br /> General Instructions well abaadonmment, etc. <br /> 1. You may be required to obtain other �car��lavailabl�e on the job site. <br /> 2. Work must not begin unless permit <br /> 3. A 24 hour notice is required for all inspections. Call 473-7357. <br /> JOB SITE ADDRESS: 1 3 b S %o kt a <br /> Occupancy T ✓ Residential _ Commercial <br /> P Y yPe: ----- <br /> ER'S rKv ►7. ��'e�-, Phone: 8 /`l- Is <br /> Q City: <br /> Address: 12� s~ it' <br /> Mailing <br /> CONTRACTOR'S NAME: it ^ �7i,� City• <br /> Bus. No.: /�' 3 <br /> Mailing Address: <br /> Demolition if planned by means of: manual disassembly <br /> heavy equipment <br /> burning (by fire department) <br /> Permits Issued: j�,, <br /> Burning Fire Department <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as <br /> follows: <br /> 1. The structures) 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 <br /> unless specific prior approval is obtained in writing for temporary use thereof. <br /> 3. Foundations shall be completely removed from the ground. <br /> 4. <br /> 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 /> RECEIVED TIME MAY.19. 3:35AM <br />