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. . �L'�'�a� <br /> �����S <br /> ,� <br /> � � <br /> �U ' <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 /> 1. 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 /> 3-����i <br /> JOB SITE ADDRESS: ��9 Casco Avenue <br /> Occupancy Type: ✓ Residential Commercial <br /> OWNER'S NAME' �an�es I Pederson Phone:�763�4ss-ot3o � <br /> Ma111rigf�CIC12'eSS: �`����Mary Lake Trail Cj�: Shorewood,MN 55331 <br /> C�NT�CT�R�s NAME: Tuma Excavating&Demolition $US.NO.: ��63)479-2982 <br /> M31�1ri�Tf�CIC�TOSS: S�`�5 County Road 19 CiTy: Minnetrista,!�IN 55359 <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. Demolitioii debris wi11 be kept offadjoining property and/ar 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 b ound. <br /> 4. All demolition debris shall be completely disposed of off site in accordance with all <br /> applicable PCA reauirements. <br /> 5. Water we11s must be abandoned in aecardance 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 />