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�� � 2/ <br /> �,�. ,.j �..o <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PER��IIT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, i�SN 5�323 � <br /> SPECIAL CO�'DITIOVS & HOLD HAR�I�ILESS AGREEI�iE`"T <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burnin�, well abandonmment, etc. <br /> 2. `�Iork must not be�in unless the permit card is available on the job site. <br /> ;. A 24 hour nocice is required for all inspections. Call 473-7357. <br /> JOB SIT'E ADDRESS: 3 5 /O �'7�y�i c�L'- �Z �- <br /> Occupancy Type: ,.�'' Residential Commercial <br /> O`�'ER'S NQs1�fE: �Lin�r � �/ov� �L�,�EJ���� Phone: <br /> Mailin� Address: �rs�- ,:�.� r��v � f' �� City: �'rr-�� <br /> CONI'RACTOR'S NA,IVIE: �_r <br /> C!_"'�a r� �mz-s Bus. No.: ���%� _��li'S% <br /> Mailin� Address: -,�, Z . L , City: ���-i`��c_i L� <br /> Demolition if planned by means of: manual disassembly <br /> � heavy equipment <br /> burnin� (by fire department) <br /> Permits Issued: <br /> # Burning Fire Department <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit, the undersi;ned owner hereby agrees as <br /> 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 adjouuna properry and/or the public rights-of-way <br /> unless 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 reb lations. <br /> 6. Inspection required when all debris has been removed, before backfilling. <br /> �� <br /> � <br /> --«: <br />