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� <br /> - ��,��,v <br /> , . <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PER1l�1IT <br /> P.O. Box 66 (2750 Kelley Parkway) � <br /> Crystal Bay, MN 5�323 <br /> SPECL4L CONDITIONS & HOLD HARI�ILESS AGREEI�IE\TT' <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burnin�, well abandonmment, etc. <br /> 2. �ork 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 SITE ADDRESS: Z � S � d �� <br /> Occupancy Type: idential Commercial <br /> OW�rER'S NQuI�IE: (..� � ✓ Phone: <br /> Mailin� Address: Ciry: <br /> CONTRACTOR'S NAl us. No.: O <br /> � <br /> Mailing Address: Ciry: <br /> Demolition if planned by means of: manual disassembly <br /> equipment <br /> burnin� (by fire department) <br /> Permits Issued: <br /> # Burning Fire Department <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees 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 adjoinino property and/or the public rights-of-way <br /> unless 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 reD lations. <br /> 6. Inspection required when all debris has been removed, before backf'�lling. <br />