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. � i c���g C��.d i�.� �7 -� r�� ,� l a� �� <br /> i �/Zo/oc� <br /> G �- d — ��Y� — `�iDQId� f� �OrS� <br /> f �� � � ��i <br /> � <br /> C�TY OF aRONO A.kPLICATION FOR DEMOLI?ION PERI�YT <br /> P.O. Box b6(2750 Itelley ParkwaY) <br /> Crystal Bay,MN 55323 <br /> SPECIAL CONDITIONS&HOLD HARP'iI.ES5 A.GRkEN�ENT <br /> General Xnstructions <br /> 1. You may be required to obtai��otk�er permits, i.e. well abandoumEnt, ctc. <br /> �, Work must uot begin unless dze pcnnit card is available on thc job site. <br /> 3, A z4 hour notice is required for ail inspectious. Call (952)249-4640. <br /> U L � `C �r <br /> JOB SITE ADDRESS: a Co�mercial C7 �G� �'��s <br /> Occupancy Type: Reside�itial p "" � . <br /> pWNER'SNAME' lu L Phone:,,,_�f 2�2_�5� ��� <br /> City:�, d��?�C� �f�fJ; <br /> Mailing Address� .p� 1� �S�S,t <br /> '�DM � Bus.No.:. (�%2�'�J����o <br /> cOrrrRaC�'o�'s N�: � E . C_�, ���,:���_2��,,�i11� <br /> Mailing Address:_Z�b¢ C S <br /> mauuat disasse�bly <br /> Demolition if planned by means of� �h�e� equipment <br /> pern�its Issued: <br /> ##�We11 Abandozwient � <br /> I�l return for issuance of said Demolition Peccnit,the undersigned owner hereby agrees as follows: <br /> 1. 7he struettire(s) shall be kept enclosed aud/or seetued until such time as dcmolition is <br /> complete. <br /> 2. Demolition debris wiil be kept off adjoiziing property and/oz the public rights-of-way unless <br /> specific prior approval is obtained in writir�:g fox teinporlry use thexeof- <br /> 3, Foundations shall be completely remo�ed from the ground. <br /> 4, All demolirion dcbris shall ba conipletely disposed of off site in accordance with all <br /> applicable PC?L requizements. <br /> 5. Waeer wells must be abandoned 'ui aceordance witli State Healtl� Aepartnlent regulations. <br /> �. Se��er and water ruust be disconnected at the services at the street Uy q�l���ed contractors. <br /> 7. Inspection requircd w�e�� all debris has been remo�ed,before backfilling. <br /> 611-� 600/ZOO d 191-1 919q8ptt58+ ONOaO �0 All�-Wo�� wdZl�lO 9002-8Z-ya0 <br />