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Dec-14-2001 12:47pm From-CITY OF ORONO +9522494616 T-358 P.008/017 F-479 <br /> O' <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: ' f <br /> Occupancy Type: � Residential Commercial ( � �C'� r <br /> OWNER'S NAME: a A, Phone: <br /> Mailing Address: s City <br /> CONTRACTOR'S NAME: �,; K fl'r1 .. L Bus.No.: `r.5 - -5 -7--Y=.;;_;- <br /> Mailing Address: v E. t.. .;r-• I City: r%, -. <br /> Demolition if planned by means of: manual disassembly <br /> -)< heavy equipment <br /> Permits Issued: <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permii:, 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 /> r 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 /> • <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 Departments regulations. <br /> 6. Inspection required when all debris has been removed, before backfilling. <br />