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► 1 <br /> ' � �l vc�f .i� ��. <br /> Y ' /b -/��4(� <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 55323 <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> General Instructions <br /> l. You may be required to obtain other permits, i.e. well abandonment, 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 (952) 249-4600. <br /> JOB SITE ADDRESS: �o�U ,(;�w�i ��c�.�� S. . O�U^�v ,�r`�l� ��'l I <br /> Occupancy Type: _�Residential Commercial <br /> OWNER'S NAME: �_'l���s�;,�,�, ,���,���%r;,��� �:�� Phone: 9f`1- 17/-��% <br /> MailingAddress: �S',�� c"r,�.�'z'���ic-� ,0•2�v'c' City: �.���,��.�— �.�,� <br /> CONTRACTOR'S NAME: s���� � r�1o�.%c' Bus.No.: <br /> Mailing Address: City: <br /> Demolition if planned by means o£ manual disassembly <br /> �c heavy equipment <br /> Permits Issued: <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit,the undersigned owner hereby agrees as 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 adjoining property and/or the public rights-of-way unless <br /> 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 /> 5. Water wells must be abandoned in accordance with State Health Department regulations. <br /> 6. Sewer and water must be disconnected at the services at the street by qualified contractors. <br /> 7. Inspection required when all debris has been removed,before backfilling. <br />