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1e/10/2006 15:01[ FAX [ 7635319278A [ f ` n Mueller Sales Corp. yy r l 1003/003 <br /> Oct. 10. 2cn 6 2: 58PM BE 763479(i117 N . 4631 P. J <br /> • <br /> S. Within 5 working days of superstructure removal, a final inspection shall be requested, The <br /> site shall he left clean and clear of all debris,with any excavation filled with earth level with <br /> the adjacent ground elevation (except when such excavation is to he used as part of a new <br /> building and such new building is actual i7„,under construction). <br /> 9. The undersigned owner shell and hereby does indemnify and hold harmless the City of <br /> Orono; its agents, employees and assigns from and against all claims, damages, losses or <br /> expenses,including attorney fees,against the City, its agents,employees and assigns arising, <br /> out of or resulting fion.m the demolition described herein a:;performed by the properly owner, <br /> his erraployces, agents, subcontractors or assigns. <br /> 10. Septtc systems mLu5th e abandoned per Minnesota Rules Chapter 7080. All septic tanks must <br /> be pumped,crashed and filled with native soils. An inspection is required after the tanks are <br /> pumped and before the tanics are crushed tad filled, <br /> PERMIT TYPE AN)) FEE CALCULATION <br /> `_„ $50.00 ., Principal Structure. <br /> K $30.00 - Accessory Structure <br /> 1. Subtotal of above permit requested S C'. O <br /> State Surcharge S �..,, .; <br /> 3. TOTAL PERMIT FEE (add lines 1-2 above) $ <br /> The undersigned hereby applies to tale City oEOrono fur issuance of a Demolition Permit,a2rer;s co <br /> do all work in strict accordance with.the ordinances of the City and the regulations of the Stale of <br /> Minnesota,and certifies that all statements made on this pplicatiou are complete, true and correct. <br /> APPLI'CANT'S S1GNAT {E. a/eL',,Prif f/ -,..,,._ -Date: l0`-10-1),, <br /> OWNER'S SIGNATURE: •,'*. ��^ jC '• / Date: ..,L° '1 '- - (0 C <br /> �.k'�'i�OVD ll7 Yf: -'-�/ ��,I - Date.. /0 ' _Oh <br /> —/iuilding 01lici:l) <br /> 'ZONING EnscLosup,nREQUIRED? n '6(Ji S p4,1, <br /> This Mu:l Fe Filled Out 1✓y :'onun De:F.t'r;uaot - For Eitll?lr Answer: h\ Zonin5 Qtticia! Mn Sign All <br /> Applications v <br /> "APPROVED BY: AJ_ _ 11«te:w. <br /> t,oniI ,OrrtcisII <br /> r e.sot. Form <br />