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��,1 .. <br /> CITY OF ORONO APPLICATION FOR Dffi�iOLITION PERHIT <br /> P.O. Box 66 (1335 So Brown Rd) <br /> Crystal Bay, MN 55323 <br /> � SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> *��**�*********************:***************�**************�t**t***t****t**� <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burning, well <br /> _:__ __. abandonmment, etc. ----- - -- .. _ _.. __.__.... ,_._.. ,- ---.-.�z �..:s . . _.. ---- ---- • -- - <br /> �' 2 . Work must not begin unless the permit card is available on the job <br /> site. <br /> 3. A 24 hour notice is required for all inspections. Call 473-7357. <br /> ******#�*�*t**t***t****:***t*:�******t*****��**tt***t*****:f**t*�***f�**�** <br /> JOB SITS ADDRESS: -3y�0 i3,q �jS.L�d�' Ii��40 <br /> Occupancy Type: v- Residential Commercia <br /> OWN�t'S NAME: ���H�'� �+- CL.�'�qR�?�'i r't�u=Y Phone: H�G -y y 2r7 <br /> Mailing Address: Si4�a� City: D.eoND <br /> CONTRACTOR'S N�ME: Bus. No. : <br /> Mailing Address: City: <br /> *********t�***�*�*f**�***:*:********�**:*************t**f*****�****:******* <br /> Demolition if planned by means of: manual disassembly �heavy equipment <br /> burning (by fire department) <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 /> l. The structure(s) shall be kept enclosed and/or secured until such time <br /> as demolition is complete. <br /> 2 . Demolition debris will be kept off adjoining property and/or the <br /> public rights-of-way unless specific pr�or approval is obtained in <br /> 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 <br /> accordance with all applicable PCA requirements. <br /> 5 . Water wells must be abandoned in accordance with State Health <br /> Department regulations. <br /> 6 . Inspection required when all debris has been removed , before <br /> backfilling. <br /> 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 />