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� ����8� <br /> , `�-�G"5� 9-i�'-v3 <br /> � , ���� � �� s <br /> c. <br /> ����, <br /> L�� 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 abandonmment, 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 (612) 249-4600. <br /> JOB SITE ADDRESS: �� � � C-H S C o �V�, 0 (Z.b (� , I�IV � S ��I <br /> Occupancy Type: �Residential Commercial <br /> OWNER'SNAME: l��iSq WI�1U.-�(L�T�1So� A��E�^1t�1� Phone:��� � 5�� ^ ��� � <br /> MailingAddress: y�S� �ARI�G C�Mr�Or�S DR�vt #I 09 City: S�, I.UN jS P,q21<. MN S��{ �` <br /> � <br /> CONTRACTOR'S NAME: 130�-1.1�—�' SD � S'. �-N C- Bus.No.: �1 S Z, 9 3� - �t�3 3 <br /> Mailing Address: 11 �10► Lo��i-� �g 3 . � City: �0�IL i �S , w�� �S 3y 3 <br /> Demolition if planned by means of: manual disassembly <br /> ��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. Inspection required when all debris has been removed, before backfilling. <br />