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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 /> 7. Within 5 working days of superstructure removal, a final inspection shall be requested. The <br /> site shall be 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 be used as part of a new <br /> building and such new building is actually under construction). <br /> 8. Septic systems must be abandoned per Minnesota Rules Chapter 7080. All septic tanks <br /> must be pumped, crushed and filled with native soils. An inspection is required after the <br /> tanks are pumped and before the tanks are crushed and filled. <br /> 9. The undersigned owner shall 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 from the demolition described herein as performed by the property owner, <br /> his employees, agents, subcontractors or assigns. <br /> PERMIT TYPE AND FEE CALCULATION <br /> ta $50.00—Principal Structure <br /> a. $30.00—Accessory Structure / (how many) G&t`° €.— (what) <br /> 1. Subtotal of above permit requested $ D 0 <br /> 2. State Surcharge $ .50 <br /> 3. TOTAL PERMIT FEE (add lines 1-2 above) $ <br /> The undersigned herby applies to the City of Orono for issuance of a Demolition Permit, agrees <br /> to do all the work in a strict accordance with the ordinances of the City and the regulations of <br /> the State of Minnesota, and certifies that all statements made on this application are complete, <br /> true and correct. / Q <br /> Applicant's Signature: Date: <br /> m — Owner's Signature: Date: to! 2 et 70 -7 <br /> Approved By: c)A <br /> Date: 1 - —0 <br /> m ding Official) <br /> * Zoning Disclosure Required? ® YES ❑ NO <br /> *This must be filled out by Zoning Department—For either answer,a Zoning Official must sign all applications. <br /> * Approved By: hl G Date: <br /> (Zoning Official) <br /> Reset Form x.`' <br />