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i� �. <br /> . 53� <br /> • �!° <br /> CITY OF ORONO APPLIC TION FOR DEMOLITION PER��iIT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, i��N 5�323 � <br /> SPECIAL CONDITIONS & HOLD H 1�7I.ESS AGREE�ti"T <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burnin�, well abandonmment, etc. <br /> 2. Work must not be�in unless the permit card i available on the job site. <br /> ;. A 24 hour notice is required for all inspectio . Call a73-7357. <br /> JOB SITE ADDRESS: .3 S 1� �� ,� � e ' <br /> Occupancy Type: �Residential Co ercial <br /> O�i�'ER'S N�tiIE: l Phone: �7� � 2�J 7 <br /> Nlailin� Address: Ciry: /_,� .. . L 4�� <br /> CON'I'RACTOR'S NAi�: S' Bus. No.: �,��- y/.�3 <br /> Nlailing Address: / City:—�2���,s <br /> Demolition if planned by means of: m nu disassembly <br /> _� heavy equipment <br /> burni (by fire department) <br /> Permits Issued: <br /> # Burning Fire Department <br /> ## Well Abandonment <br /> In return for issuance of said Demolition Permit, e undersigned owner hereby agrees as <br /> follows: <br /> 1. The structure(s) shall be kept enclosed and/o secured until such time as demolition is <br /> comple[e. <br /> 2. Demolition debris will be kept off adjoi�ina property and/or the public ri?hts-of-way <br /> unless specific prior approval is obtained in 'ting for temporary use thereof. <br /> 3. Foundations shall be completely removed fro the ground. <br /> 4. All demolition debris shall be completely d sposed of off site in accordance with all <br /> applicable PCA requirements. <br /> 5. Water wells must be abandoned in accordanc with State Health Department rewlations. <br /> 6, Inspection required when all debris has been removed, before backfilling. <br />