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� ,� �9a��, <br /> , ,. <br /> CITY OF OROti'O APPLICATIO�' FOR DEMOLITION PER�tiIIT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, i�fN 5�323 <br /> SPECIAL CO�'DITIONS & HOLD HAR:�ILESS AGREEI�iE`TT' <br /> General Instructions <br /> 1. You may be required to ob[ain other permits, i.e. burninQ, well abandonnunent, etc. <br /> 2. Work 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 �,DDRESS:. .�2 3� l�u S C� �� 2�- � � <br /> Occupancy Type: Residential Commercial <br /> OW��R'S N��LE: �t�V� � [�.,r� �i.�� �i �us Phone: <br /> I1�Iailin� Address: Ciry: <br /> co•rrxACTOR�s �ra�,�: .�� � � � � ►� ►� I��,,�� Bus. No.: 4 7 ��- � � � �' <br /> Nlailing Address: ( � (� So �b r--m�+c���-n--. City: • <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 Abandonment <br /> In return for issuance of said Demolition Permit, the undersi�ned 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 adjoirun� 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 re�ula[ions. <br /> 6. Inspection required when all debris has been removed, before backfilling. <br />