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i IAPPLICATIOH FOR DEMOLITION PERMITCITY OP OROHO P.0, Box 66 (1335 So Brovm Rd)Crystal Bay» MN 55323SPECIAL CONDITIONS 6 HOLD HARMLESS AGREEMENT <br />I <br />1? • <br />Genaral lastrnetions <br />1. You may ba required to obtain other permits^ i.e. burningr well <br />abandonmmentr etc. - — <br />2. Work must not begin unless the permit card is available on the job <br />site. <br />'r ■ <br />3. A 24 hour notice is required for all inspections. Call 473-7357, <br />r ’ <br />ll'' ‘ <br />JOB SITE ADDRESSs <br />Occupancy Type:Residential <br />MEt <br />Commercial <br />Phone: <br />Nailing Address:City: <br />Bus. No.:OamUICSOR*8 HAME: _ _ _ _ _ _ _ _ _ _ _ _ ,_ _ <br />Demolition if planned by means of: __^manual disassembly __heavy equipment <br />burning (by fire department) <br />i <br />I <br />Permits Issued: <br />* Burning Fire Department <br /># _ _ Well Abandonment <br />In return for issuance of said Demolition Permit, the undersigned owner <br />hereby agrees as follows: <br />1/ <br />The structure(s) shall be kept enclosed and/or secured until such time <br />as demolition is complete. <br />Demolition debris will be kept off adjoining property and/or the <br />public rights-of-way unless specific prior approval is obtained in <br />writing for temporary use thereof. <br />Foundations shall be completely removed from the ground. <br />All demolition debris shall be completely disposed of off site in <br />accordance with all applicable PCA requirements. <br />Water wells must be abandoned in accordance with State Health <br />Department regulations. <br />Inspection required when all debris has been removed, before <br />backfilling. <br />i> 7.within 5 working days of superstructure removal, a final inspection <br />shall be requested. The site shall be left clean and clear of all <br />debris, with any excavation filled with earth level with the adjacent <br />ground elevation (except when such excavation is to be used as part of <br />a new building and such new building is actually under construction). <br />fete <br />■.... ...M. <br />mu <br />Vi <br />•i