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Ost-2B-t�t O4:lOr+� From-CICY OF ORONO +p622494616 T-010 P.D02/OOt F-834 <br /> 2. Dcmolicion debris witt b�kepc off adjoirting property and/or the public rights-of way unteas <br /> specifu ptior approval is ohtained in writing for temporary usc thereo£ <br /> 3. Foundetioas shall be compleuly removed&om the ground. <br /> 4. AU dcmolition debris shall be complctely disposed of off site in accordancc with all <br /> app]icahk PCA requinemenu. <br /> S. Water wells m�ust be abandaned in accardance witb State Health Departmcat re�ula�oas. <br /> 6. Inspectioa required when a�l[debris has been.Yea�oved,before backfilling. , <br /> 7. Withia 5 wortdng days of supersnucture cemoval,s fiaal iaspectios shall be requested. T'he <br /> siu shall bc left clean and clear of all debris, witl:any cxcavaeion filled arith ear�h kvel wi�, <br /> the adjacent ground elevation(except when such excavauoa is ta be�se�i as pan of a new <br /> building aad such ncw building is acrually undec coastznctian� <br /> S. Septie systems must be abattdoaed per Minnesota Rults Chapttt 7084. IUl sepric ta�cs <br /> must be pumped, ctvshed and fclled with native soils. An inspecrion is r�qwred af[er the <br /> tanks are pw�ed aad before the tanks ane erushed and filled. <br /> g. The undersigacd owndt Sha11�nd hereby daes iademnify and h�ld harmless the City of <br /> Orona�iu agencs, empioye.�s arid assi�ns fToxn and against all ctaims,damages,losses or <br /> eupeases,including attorney fees,against the Ciry,its agents, employoe� and assi�►s arisin� <br /> out of or resultias frorn the demoticioa desa�ibed heceos as performed by the propetty owner, <br /> his employees.agents,subeonuactors orassigas. <br /> PERMTT TYYE AND FEE CAI.CULA7'TUN <br /> � $50.00-Ptincipal S�uccurc <br /> �-530.00-Accessory Structure�_(how maay) �f '1l0�� (�"��t) <br /> 1. Subtocal of above permit rcquested S ` <br /> 2. State Sarcharge S .50 <br /> 3. TO'I'AL PERMIT FEE(add tines 1-Z above) S <br /> The undersigned hecby applies w tbe Cicy of O�ono fa issuance of a Dernolinon Pemuc,a�rees <br /> to do a1i the worlc ia a strict aceosd�nee with the ardinanees af the City and rhe reguiadons af <br /> thc$tate of Minnesota,and certifies t�6at all statea�e�ats madc on tbis applicadon are cornplete, <br /> true and coaect. <br /> � <br /> Applic�at's Sigastt:re: d,��� Datc_ /G�� ,3C) —D � <br /> Ovrn�r's Sigaiture: Date: /d _.'� <br /> APproved By: Date: <br /> (9ui2ding Of5cial) <br /> * 2oning DisclOsure ltequired'`❑ YES �NO <br /> '�Tt�is mast be Slled our by Zani�g Deps�tme�u-Foc anewer.a Zaning Of5cial musl�ign nll applications. <br /> *Approved By: a....,_ Date� �t�-Z.5'-p1 <br /> Z IAg �C1A�) <br /> � <br /> L'd ObOL-SZZ-ZLL siueia '�{ �g 'Q �o eo�}}O dZl��O LO 6Z �0 <br />