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♦ <br /> _. . � ` � ` � � � .. <br /> CITY OF ORONO APPLICATION FOR D�MOLITION PERMIT <br /> P.O. Box 66 (1335 Sa Brown Rd) <br /> Crystal Bay, MN 55323 <br /> ' SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> �r****#**��**t**�*****:**�**#**************�*****�*�***�*********tt*���r**�* <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burning, well <br /> --• abandonmment,- etc. �--- - ----=� <br /> � 2 .'� Work must not, begin unless the permit cardrisyavailable on the job <br /> site. <br /> 3. A 24 hour notice is required for all inspections. Call 473-7357. <br /> ********�*******�******:**ft**t**�**tt*****3*********:**t******tt**�*�*�**� <br /> JOB SITS ADDRESS: ' Z <�= ,�_ ,-,� , ; '^. ' ( �, <br /> Occupancy Type: <br /> Residential �_Commercia <br /> OWNER'S NAME: � ' r,-� �;�-�-c_- Phone: r-�J�� 7� `� � <br /> Mailing Address: t c1 f �� /� � ('�� �z-L� I--���, <° _ ;�� City: <br /> � Bus. NO. : �J `/ �- ��' <br /> CONTRACTOR'S N1�1+�:: ���c r r« �c; /.,��'�i'�_��'� , . <br /> Mailing Address: <br /> City: � ;,.f� � � "�� � � <br /> *dr******t****tt*:*:::�::**::�*�*******t***�*t�********t*tf�**� *�r�t�t**�:f* <br /> Demolition if planned by means of: manual disassembly �heavy equip�ent <br /> burning (by fire department) <br /> Permits Issued: <br /> � Burning Fire Department <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit, the undersigned owner <br /> hereby agrees as follows: <br /> 1. The structure(s) shall be kept enclosed and/vr secured until such time <br /> as demolition is complete. <br /> 2. Demolition debris will be ke�pt off adjoining rov�al is btainedtin <br /> public rights-of-way unless s ecific prior app <br /> 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 <br /> accordance with all applicable PCA requirements. <br /> 5 . Water wells must be abandoned in accordance with State Health <br /> Department regulations. <br /> 6. Inspection required when all debris has been removed , before <br /> backfilling. <br /> 7 . Within 5 working days of supers hal l be left clean andaclearPof tall <br /> shall be requested. The site s <br /> debris, with any excavation filled with earth level with the ada=�en�f <br /> ground elevation (except when such excavation is to be used as p <br /> � a new building and such new building is actually under construction). <br /> ���d�e� �- 2 Y y S 3 �� �.w�_ <br /> � <br /> ���S� <br /> h <br />