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�,r". �-��''� /-� �DZD� ,'� <br /> �� lO-D� <br /> �� �' <br /> CITY OF ORONO APPLICATION FOR DEMOLITIOiV PERM�T <br /> P.O. Box 66 (2750 Kelley Parlcway) <br /> Crystal Bay, MN 55323 <br /> SPECIAL CONDITIONS & HOLD HARI�ILESS AGREEMEN'I' <br /> General Instructions <br /> 1. You may be required to obtain other pernlits, i.e. well abandonment, etc. <br /> 2. Work must not begin unless the perniit 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: / `'�3�v � ''�L�U 2 �✓��K ,�D <br /> Occupancy Type: //� Residential Commercial - <br /> OWNER'SNAlVIE: ,� ��'� yY� � X 1�/'^��`�0� Phon� �/�- '7.�y '3 S1 1 <br /> Mailing Address: �y 3G� ��� �U�C p�'�-�� �� City: /L'O �� ��-J/ <br /> � C^ ��s�-� 0�-S 7S0 <br /> '�v�a'�C'�OR'S1V�s.1VIE: ,��T/�D 1` R 19/�'C1� n'rrtt� Bus.No.D ��5�1 � `�� '�` D�i.�- <br /> MailingAddress:�D Gtl -7$� SU� 2YG� G'�5��.�✓ City: �' <br /> ,/j�N, <br /> Demolition if planned by meaus of: �mauual disassembly <br /> �_heavy equipment <br /> Perniits Issued: <br /> # Well Abandonment <br /> In return for issuance of said Demolition Pennit,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 Icept off adj oininQ property and/or the public rights-of-way unless <br /> specific prior approval is obtained in writing for temporary use thereof. <br /> 3. Fotmdations sha11_ be cnn�pletely 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 reaulations. <br /> 6. Setiver and water must be disconnected at the services at the street by qualified contractors. <br /> 7, Inspcction required when all debris has been removed, before backfillin�. <br />