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S � � � <br /> ` --f/� 7' / ��C�I.S� <br /> . �(y`'�(�� 8/,o/�.� <br /> . � <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (2750 Kelley Pazkway) <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 abandonment,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(952)249-4600. <br /> JOB SITE ADDRESS: 1444 Baldur Park Road <br /> Occupancy Type: ✓ Residential Commercial <br /> OWNER'S NAME: Patrick & Loring Kaveney Phone: (952) 944-0611 <br /> Mailing Address: same City: Orono <br /> CONTRACTOR'S NAME: Patrick Kaveney Bus.No.: (952) 944-0611 <br /> Mailing t�ddress: same City: <br /> Demolition if planned by means of manual disassembly \ �lC �_,7��.,�-,�j��.. � �v�'�t-c�� <br /> heavy equipment 5 � G � <br /> :�-,� i�,�z �I��.-� <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 />