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� <br /> . APPLICATIOi�' FOR DEMOLITION PER�tiiIT <br /> CITY OF ORO�'O . <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 5�323 <br /> SPECL4L CONDITIONS & HOLD HARi�1I.ESS AGREEI�i\'�' <br /> General Instructions <br /> 1. You may be required to obtain other permits, i,e. burnin�, well abandonmuient, etc. <br /> 2. tiVork must not be�in unless the permit card is available on the job site. <br /> 3. A 24 hour notice is required for all inspections. Call 473-7357. <br /> JOB STTE ADDRESS: J��� �5 �C< <� C' � <br /> Occupancy Type: � Residential Commercial <br /> L Phone: � � <br /> oti��R�s �r,��rE: � �- � . <br /> _� . ciry: o �� <br /> Mailin� rlddress: / C <br /> CQNTRACTOR'S NA12E: �C' /� Bus. No.: <br /> Mailing Address: Clry: <br /> Demolition if planned by means of: manual disassembly <br /> —�heavy equipment <br /> � burnin� (by fire department) <br /> Permits Issued: <br /> # Burning Fire Department <br /> ## Well Abandonmen[ <br /> In return for issuance of said Demolition Permit, the undersi�ned owner hereby a�rees as <br /> 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 adjoinin' property andlor the public rights-of-way <br /> unless specific prior approval is obtained in writi.n� for temporary use thereof. <br /> 3. Foundations shall be completely removed from the ground. <br /> 4, All demolicion 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 backfillin�. <br />