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05-06-02, 10 : 32 GOULET HOMES INC ID=612 253 8161 P.02 <br /> 57q7 ! <br /> 4 v/-5) <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 /> ' I aQ rZwo"' CZ') <br /> JOB SITE ADDRESS. "T ���vC <br /> Occupancy Type: No Residential Commercial <br /> OWNER'S NAME: Aa' M1 luoltt Phone:952. 4'7 3.x$'28 <br /> Mailing Address: 44 City: PLIE ? ,A w� <br /> CONTRACTOR'S NAME: (,our-r.'c' Bus.No.:12., 2 'f, `1 I.7 <br /> Mailing Address:_ 12. 2 City: ,fi l p) cr/3-29 <br /> Demolition if planned by means of: manual disassembly <br /> s -,L2 , <br /> heavy equipment i <br /> Permits Issued: <br /> ## Well Abandonment (E. CE'est <br /> t J <br /> In return for issuance of said Demolition Permit,the undersigned owner hereby agrees as 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 unless <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. <br /> 6. Inspection required when all debris has been removed,before backfilling. <br />