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g. Within 5 Working days vf snpershuctuxe removal,a final inspectivn shall be requested. 'The <br /> site shall be left clean and clear of all debris,with any excavation filled witl�,earth level with <br /> the adjacent ground elevatirnz (except when sueh exeavatiot�is to be used as part of a new <br /> building and such new building is actually Lulder construction). <br /> 9, Thc undezsigned owner suall and hereby does indeuini�y a�id hold hannless the City of <br /> Orono, its agents, ei�.aployees and assigns fiom and against all claims, damages, losses or <br /> expenses,includino attorney fees,against tbe Gity,its agents,employees and assigns arising <br /> out of oz resulting from the deinolition described herein as perfoimed by tlle property owner, <br /> his employees, agencs,subcontractors or assi�ns. <br /> 10, Septic systenu must be aba�.�dvned per Miunesota Rules Chapter 7030. All septic tanks must <br /> be pumped,cnished and�illed��ith native soils. An inspection is r�quired after the tavlcs are <br /> pumped and before the tanlcs are crushed and filled. <br /> pEg�T xypE APiD FEE Ca►LCULATION <br /> � $50.00-Principal Structure <br /> 1'�. $30.00-Accessory Strueh�re <br /> 1. Subtotal of abovc p�rtnit requested $ <br /> g .50. __- <br /> 2. 5tate Surcharge <br /> 3, TOTAL PERMIT FE�,(add lines 1-2 above) � <br /> The tmdersigned hereby applies to the Ciry of Orono for issuaace of a De�olition�ermit,agrees to <br /> do atl work in strict accordance{a��nts made on th stlapplicltion aree o pll tentrue and correct <br /> Minnesota,and certifies tbat al]s <br /> , �___ <br /> APPLI�ANT'S SIGNAT[TRE= / ..._—�' Date:���-- `— � `�-� <br /> �► O�VNE�t'S5IGl�ir°.'��� <br /> � �c..., ✓.�,��,1 Date: l Z - Z� 'o(o <br /> Aate: r z - .�-� _ � � <br /> A�����D��� �B ilding Ofticiai) <br /> *�OA1���G�g���OS�JRE F.��QUbRE�° ���'E� ❑ �� <br /> " This Must 9e Filled Out By Zooiny D�panmcnt • Fur Eitl�er Answer: A Zonin� Official Must Si�u All <br /> Applicetipns <br /> �� Date� / Z . z 7� o so <br /> *,�EPR��IED l��C: <br /> ('GUNns Offtci�tl) <br /> P•eset Form <br /> �Z°I+� - b�Z �2sb #-��d � <br /> �z�.�s l��2- 7 h o-i- s��c�c�, � ��� x-d� <br /> p h�� �� �°��'� y u,�r, v� �an� �'� <br /> ��� b,b xoc� 0�1 t- l( Q� 3Q .r� �-c �-. � � G� <br /> � _ . � � . _ .-� _ , c-�. , , � ._� �n � � � � I Vil WIE� 11��.�, <br /> 6Z1-� B00/l00 d !til-1 919Y8qtZ46+ ONOaO �0 All9-Wo�� wdZt:lO 9002-82-�aa <br />