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/-�,����� <br /> �''� b 8-� -o <br /> g'� �D � so <br /> � �`50 — <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERIVIIT <br /> P.O. Box 66 (2750 Kelley Parlcway) <br /> Crystal Bay, Mi�1 55323 <br /> SPECIAL CONDITIONS & HOLD HARivILESS AGREEMENT <br /> General Instructions <br /> 1. You may be required to obtain other peimits, 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 l�our notice is required for all inspections. Call (952) 249-4600. <br /> JOB SITE ADDg2ESS: Z S��� �i� N �����1 ' f.�. �� <br /> Occupancy Type: Residential Co�nmercial <br /> , <br /> �� � 17 ,.�i v ��6� dS�1s� <br /> OWNER'SNAME. � L � Phone: <br /> Mailing Address: �� 2- - li� z�i I�T City: 1�-J�-'T� <br /> °L'ni�i?'�C,�OR�s 1VAIV��: i rv N zw z�->✓f` ��1 t/ BUS.NO.: 1 �'i� - t'f�i �' �J � 7 <br /> MailingAddress: ' � � �'�,��, City: � <br /> �7�o �! C�''���'` ��v�� ;`�- �j,��; �F (1�- S S� 2, <br /> Demolition if planned by means of: manual disassembly <br /> �C heavy equipment <br /> PernlitsIssued: .Fv.,.,�;�"ia ��.�<•— Srz�d.c'�� `"`" Ll � ��yc�i �o�� <br /> # Well Abandomllent C N� J <br /> In retui7l for issuance of said Demolition Pei7nit,the undersigned owner hereby agr�es as 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 lcept off adjoinin�property and/or the public rights-of-way unless <br /> specific prior approval is obtained in writing for temporary use thereof. <br /> 3. Fot:ndatio�ls sLall be com�letely 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 /> ���,�L P` � Water wells must be abandoned in accordlnce with State Health Department regulations. <br /> ���p_� �� Se�ver and water inust be discoiulected a�the services at the street by qualified contractors. <br /> ✓ <br /> 7, Inspection required when all debris has been removed, before backfillin�. <br />