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- _ �� (� <br /> � `c <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (1335 So Brown Rd) <br /> Crystal Bay. MN 55323 - <br /> � SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> t*******�********�*******�*:t*t*:*********:�***�*��********��t:********�*� <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burning, well <br /> abandonmment, etc. <br /> 2. Work must not begin unless the permit card is available on the job <br /> site. <br /> 3. A 24 hour notice is required for all inspections. Call 473-7357. <br /> ��*�******:****:�*****:***t:f** :**�**********:*t:**�t******�:*�****�****�* <br /> JOB SIT$ ADDRESS: ZS9D .SCO��yiYT ��D <br /> Occupancy Type: �_Residential Commercia <br /> owt�s�t�s x�$: /�/�1.�°y,�i���S �T/2. Phone: .5-�59- S Za <br /> i�;ai�i:.g Audz�ss: 7�/S Ni� it/G Ci��,. Gy''�10U7� <br /> CONTRACTOR'S NAME: ��. �jy,Sjr�f/(�%Qi(/ Bus. No. : q�/�Q53 <br /> Mailing Address: Z76,$' / ' � City: Gy�jOU�r� <br /> *****************�t*�:*******�**�***:************::**#**f*�*********:****t* <br /> Demolition if planned by means of: manual disassembly heavy equipment <br /> �burning (by fire department) <br /> Permits Issued: � <br /> # Burning Fire Department /'%lJ�//�� <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit, the undersigned owner <br /> hereby agrees as follows: <br /> l. The structure(s) shall be kept enclosed and/or secured until such time <br /> as demolition is complete. <br /> 2. Demolition debris wiil be kept off adjoining property and/or the <br /> public rights-of-way unless specific prior approval is obtained in <br /> writing for temporary use thereof. <br /> 3. Faundations shall be completely removed from the ground. <br /> 4. All demolition debris shall be completely disposed of off site in <br /> accordance with all applicable PCA requirements. <br /> 5. Water wells must be abandoned in accordance with State Health <br /> Department regulations. <br /> 6. Inspection required when all debris has been removed, before <br /> backfilling. <br /> 7. Within 5 working days of superstructure removal , a final inspection <br /> shall be requested. The site shall be left clean and clear of all <br /> debris, with any excavation filled with earth level with the adjacent <br /> ground elevation (except when such excavation is to be used as part of <br /> a new building and such new building is actually under construction). <br />