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12/18/2006 11:55 9527585159 KA WITT PAGE 02 <br /> (ASV Z- / <br /> IA (50 <br /> CITY OF ORONO APPLICA ON FOR DEMOLITION'PERMIT <br /> P.O.Box 66 (2750 Kelley Parkway) A SSCL.n <br /> Crystal Bay, MN 55323 C U- L� <br /> SPECIAL CONDITIONS &ROL RMLESS AGR EMENT <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. well abandonment,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 (952)249-4600. <br /> JOB SITE ADDRESS: 1330 <br /> Occupancy Type: L. Residential Commercial <br /> OWNER'S NAME: NAPer=adiM Phone: La 12-22D"lotil.9 7 <br /> Mailing Address:_ City: <br /> CONTRACTOR'S NAME: V-,P1-, 0-71— CpNST Sus.No.: SL`75b" a1pe-) <br /> Mailing Address: 15 ) .gyp r. 4a �C' City: F4-A-&+►e <br /> Demolition if planned by means of manual disassembly <br /> )C heavy equipment <br /> Permits Issued: <br /> Well Abandonment <br /> In return for issuance of said Demolition Permit,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 /> 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 shallbe 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. Sewer and water must be disconnected at the services at the street by qualified contractors. <br /> 7. Inspection required when all debris has been removed, before backfilling. <br />