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5. Keep all demolition debris off adjoining property and/or the public rights-of way unless specific <br /> prior apgroval is obtained in writing for temporary use thereof. <br /> 6. Completely remove foundatian(s)from the gmund. <br /> 7. Comp2etely dispose of all demolition debris off site in accordance with all applicable PCA <br /> requirements. <br /> 8. Abandon water wells in accordance with State Health Depar�nent regulations. <br /> 9. Call for an inspection when al1 debris has been removed,before backfilling. <br /> 10.Within 5 working days of superstructure removal, a final inspection shatl be requested. The site <br /> shall be left clean and clear of all debris, with any excavation Flled with earth Ievet with the <br /> adjacent ground eievation (except when such excavation is to be used as part of a new building <br /> and such new building is actually under construction). <br /> 1 l.Abandon septic systems per Minnesota Rules Chapter 708Q. Al( septic tanks must be pumped, <br /> crushed and filled with native soils. An inspection is required after the tanks are pumped attd <br /> before the tanks are crushed and filled. <br /> 12.The undersigned owner shall and hereby does indemnify and hold harmless the City of Orono,its <br /> agents, employees and assig�s from and against atl claims, damages, tosses or expenses, <br /> including attorney fees, against the City, its agents, employees and assigns arising out of or <br /> resulting from the demolitian described herein as performed by the property owner, his <br /> employees,agents,subcontractors or assigns. <br /> PERNIIT TYPE AND FEE CALCULATION <br /> �] $75.00—Principal Structure $ <br /> (� $50.00—Accessory Structure x (how many) <br /> 1. Subtatal of above perniit requested $ <br /> 2. State Surcharge 5.00 <br /> 3. TOTAI,PERMIT FEE(add lines 1-2 above) $ <br /> The undersigned herby applies to the City af Orono for issuance of a Demolition Permit,agrees to do all <br /> the work in a strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota,and certifies thai alt statements mad/e/o is apptication are complete,true and correct. <br /> /'� V <br /> AppGcant's Signature: � ____ Date: �fo7 <br /> Owner's SignatIIre: Date: ��aQ�/�_ <br /> Approved By: Date: lc — t{ - 2�� Z.� <br /> ( uiiding Officiai) <br /> *Zoning Disclosure Required? YES ❑ NO <br /> "This must be filled out by Zoning lle ent—For either answer,a Zoning Official must sign all applications. <br /> * Approved By: �� Date: � ` ��' <br /> (Zoning fficial) <br />