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' 3`8G� ��-ys � /� <br /> r <br /> - � 2. Dcmolitian debas will be kept off adjoiniag prope�rty andlor the public rights-of way unless <br /> spccific prior approval is obcained in writing for temporary use tbereof. <br /> 3. Foundaaons shall ba completely remavcd fromthe graund. <br /> 4. A]1 demolitioa debris shall be completely disposed of off site in accarda�tice with all <br /> applicable PCA requirements. <br /> S, Wat�er wells must be abandoned in accordanee witb State I3ealth Dcparnneat regulations. <br /> 6. Inspection requized when a�l debris has been removec3,before backfilling. . <br /> 7. QVithin 5 wozldng days of supetsuucture remo�val,a final inspection sball be requesxed. Tbe <br /> site shari be left clean and clear of all debris, �v�th any excavation filled witl�earzh]evel wirh <br /> the adjacent ground elevation(except whcn such excavanion is to be used as psrt of a new <br /> building and such new building is acmally under construction). <br /> 8. Sepdc systems must be ahand�oned per Minnesota Ru[es Chapter 7084, All sepdc tanks <br /> muss be pumped,rrushed and fi]]ed with nadve soils. An inspccaon is re:quired afEer the <br /> tanks are pumped and before the tanks are crushed and filled. <br /> 9. 1he undcrsigned owner shall and hereby does inder�u�ify az�d hold harmlrss the Ciry of <br /> �rono,its agencs, employees and assi�s f=om and agaiast alt claims, da�nages, Losses or <br /> txpenses,includi�g anorney fees,against the Ciry,iu agcncs, ernployees and assigns arisin� <br /> out Qf ar resulting from the dtmolirion described herein as performed by t�e propeny ownet, <br /> his employees,agents, subcontractors or assigns. <br /> PERMYT TYP�AND FEE CALC[3LATIUN <br /> � $50.00—pr;naipal Structurc <br /> �$30.40—Accessary 5tructure�_(how many) �1�RRG��S (what) <br /> 1, Subtorel of above permit requested $ <br /> 2. Statc Surchatgc $ .50 <br /> 3. TOTAL PERiVIiT�'EE(add lines 1-Z a6ove) $ .., <br /> The unde�sig►ed h�rby applies to t}�e City of Orono for issuance of a Demotirion Femlit,a�res <br /> ta do all the work in a strict accordance with the ordinances of the City and rhe r�guladons of <br /> the State ofMinnesota,and certifies tE�at all statements macle on tbis applicatian are c�rnplete, <br /> true and correct. <br /> Applicant'9 Signature: Date: <br /> O�ner's Si;nature: � Date: l� <br /> Approved By: Date: _ <br /> (Buildieg Official) <br /> x 2oning biscsosure Ytequired' [] YES �N� <br /> 'This mus�be SEled oot 6y Zoning Departmtnx—For ei cr answer,a Zoaing 4f�ciul most sign all applicationA <br /> * APProved By: � Date: tt� -ZS- �� <br /> tng Of5�ia3) <br /> Z'd OtiOL-9ZZ-ZLL siueia �y� �g •Q �o eo�}O dO1�90 LO 6Z ��O <br />