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06/22/2089 12:28 7634790302 KATHERINE TAYLQR'S PACE 92/92 <br /> Z. Demolition debrls wi�l be k�}rt ai�'adjoining progcriy and/or the pubiic rights-�f w�y unicss <br /> sflEcif�c prxar approval is obtained an writing far temporary use thereof. <br /> 3. Foundations shatl be compl.etely remaved fYom the grotssid. <br /> 4, A{[d�mol'stion debris shal9 be complctely disposed of off siY�in accordance witS�►all <br /> �pplieabt�PCA rec�uireRnents. <br /> 5. Water wells must bo abandoned ie accordancc with State Healtla Aep$rtme�nt regulations. <br /> G, Inspectian r�quired when all dsbris has been removed,bafoee back�Iling. <br /> 7. Within 5 wQrkirag days o�superstructura remaval,a final inspection sha11 be t'oqucstcd. x.hs <br /> site sI�a11 be leR cle�n and clear of alt debris,wit�h any excavation�311ed with oairtlt fevel with <br /> the adjacent graund efevation (cxcept when such excavation�s ta be usecl as part of a new <br /> S�uildiag and such ncw bLtilding�s actually uader construction). <br /> 8, Septic systems�nust b�ahandaned per Minncsata R�tles Chapter 7080. All soptia tank.c <br /> must be pumped,crushed and filled with tzativc soils. An inspeccion is renuired a�fter the <br /> tanks at�e pumped and beforc the tanl�s ara crushed and filied. <br /> 4. Tiie undersigncd own�r,�hall and hereby dves indemnify and hold harmlcss t1�e City oF <br /> Orono, its a�ents,employees and assigns fram and against a!1 c(afms,damages, lasses or <br /> expenses, Including attorc�ey fees,against the City, its agen�s, emplayees and assigns arisi�g <br /> ouC of Qr resulting fto�the demotitioa described hcrcin a,s per�ortned by t�e property owner, <br /> liis employees,agents, subcontractot�s or aas�gt�s. . <br /> QERiV��T Tll��AND F�E CALCULATXUIV <br /> � �75.00—P�incip�l Structuro <br /> $50.00— Acces.Sory StructurE � (how many) Garaga (vyhat) <br /> 1. Subtotal o�above p�rmit requested $ ��•�a <br /> 2. State Surch�rge � .50 <br /> 3. Tf3TAl,P�RN�"T TE�(add lines �-2 abovc) � �25.50 <br /> The undersigned h�rby applies tc�the City of Orono for issuance of a Demolitson Pcrm�it,agrees <br /> ta do all the wor(c in a sc�ict accordancc with tha ordinances of the City and the regntations v� <br /> l•he State of Minncaota, e�nd certifies tt�at all statemen.ts made an this ap�lication are complet�, <br /> true and correct. <br /> Applicant'v Signature: • Date: _�s�_o q <br /> Owner's Si�aaturo: Date: � P�2 !� <br /> A�provcd$}►: Date: �' Z 2 "�� <br /> (Ruiidie�Off1c(a!} <br /> +�7.onfng Aiqelosnre Reqaired?� YES ❑ NO <br /> "This must be filled aut�y Zoning D�cnt—Fo�eithcr answcr,e 7,oning Of�ieia{must si�n all applicstlens. <br /> �. .�-- <br /> ''AriPz�ved By: ' .. ���,� �_ l�-� �- " Da�E: ��Z �L�� �i <br /> (%ani gOf7tciet) <br /> 9� <br /> . .t .... . <br /> x , ,� rv �v� �%" c. S��'t-w--- <br /> n/'U AG�0� /I.���j v �/L�� c9� � 5 � D <br /> / �v. �— c�- � . <br />