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��, ,o,o< 487 <br /> (y -a 5.— <br /> g65.-42 <br /> "06 <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 b Co 0 7-4^)(-^)ti=-(1 /2 a'� <br /> Occupancy Type: X Residential Co nercial <br /> OWNER'S NAME: �/2 S 6�� �"�� Phone: Z V>V. (c(6 c <br /> Mailing Address: all 2.'"(' r r ( City: mit C L1/c27 fr/7 -1 J 7 <br /> CONTRACTOR'S NAME: /w? 51 , Bus.No.: P.)2 V> v.6766 <br /> Mailing Address: y4`( Zi hi - /cs City: CSC si c/2 / _.6-11-3 <br /> 9/ <br /> Demolition if planned by means of: manual disassembly <br /> K 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 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 />