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CITY OF ORONO APPLICATION FOR DffidOLITION PERMIT <br /> P.O. Box 66 (1335 So Brown Rd) <br /> Crystal Bay, MN 55323 <br /> ' SPECIAL CONDITIONS & HOLD HARMI�ESS AGREEMENT <br /> ��********t***�************�**�****************�*******�***f*f**�t����t�** <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burning, well <br /> �. abandonmment�- etc. --- -----,. <br /> ----� -__._.�._.._.._-,-..._.-..z..-�r_-.-.�.__--- - - - - ---- - <br /> z 2 ,� Work must not begin unless the permit card is available on the job <br /> site. <br /> 3 . A 24 hour notice is required for all inspections. Call 473-7357 . <br /> ***�**�*���f****�*�****��**t:f��*#****:**�f3****t*�*t*t***�f*****tt*t�***** <br /> , ' /1' C� <br /> aJ�B $11'$ L�u��J$: � �� �-� ��Jr.' �� ,'. � - �� . i - <br /> Occupancy Type: Residential �_Commercia <br /> OWNBR'S NAME: � ��� =� � < c ` Phone: � � ; = � : -�" � / <br /> ` ' City:� ' �� <br /> Mai Iing AddrES� �� ' r � ��i � ��`'� ����s�� �� <br /> CONTRACTOR'S NAME: �� �� � ���,4 � f �,<. _ Bus. No. : �1;�� 3 �%�° <br /> � ;�� - ; C <br /> -�- � Cit � ����,�,�,��5� <br /> Mailing Address: y�1�� � � <br /> �**f**f************:*�***::*�*�t*:***�t:*****�**�****f**t***�* **�*3:****f* <br /> Demolition if planned by means of: burning (bysfei�rbeldepa heent) eQu1pment <br /> ?ermits Issued: <br /> tt 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/or secured until such time <br /> as demolition is complete. <br /> 2. Demolition debris will be kept off adjoining property and/or the <br /> public rights-of-way unless specific prior approval is obtained in <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 superstructure removal , a final inspection <br /> shall be requested. The site shall be left clean and clear of alI <br /> debris, with any excavation filled with earth level with the adjacent <br /> ground elevation (except when such excavation is to be used as part of <br /> - a new building and such new building is actually under construction). <br /> R /lpve� O� (,Y� �-Z�/-Y3 <br /> � � <br />