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� <br /> � .�, ; <br /> . -� ��� <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PER��IIT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 5�323 <br /> SPECIAL CONDITIONS & HOLD HARi1�1LESS AGREEl�1Eti'T <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burning, well abandonmment, 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 473-7357. <br /> JOB STI'E ADDRESS: �� '7'7c t�f� � -5 i D� •��� ��' %� <br /> Occupancy Type: i(� Residential Commercial <br /> OWNER'S NQu�1E' Phone: <br /> Mailin� �ddress: • City: <br /> � ;��% �, <br /> CONTRACTOR'S NAi1�: %lG S`�t:i�� �� ,�x�. .��Ui�ITii�e-�Bus. No : -�, > - >; �:=. <br /> Mailing Address�..�5L��2�� S,� i rif r--ocz =,� ,�i� City: ��rf�•.�' ��..�e���,v /�/.c�S's_3�/ <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 undersigned 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 adjoin.ina property 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 /> $. 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 />