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� PRICEWRTERHOUSECOOPERS Fax�612-373-7163 Dec 5 2008 12�12 P.03 <br /> 2. Demolition debris will bc kapt of'f adjaining praperty and/or the public righta-of way ueless <br /> speci�a prior approv�l is obtained in writin�fbr temporary use thereof. <br /> 3, Foundations shall bv completely remaved f�om che ground, <br /> 4, All demotition debris ahail bo eompietely disposed oP of'Psite in accnrdance with all <br /> applicable PCA requiremants. <br /> S, Wafcr wells must be abandaned in aea�rdanca wiCh State He�lth Departmeht regulationa. <br /> 6. Inapection reyuirad when all debris has been removed,before backfilling. <br /> 7. Within S working days of superstructure remvval,a flnaJ inspeedon ahall be requestcd. The <br /> site 8ha11 be left clean and clear of all debris,wfth any exaavatian filled with carth level with <br /> the adjacent ground elevation(except when such excevation is Co ba used as part of a new <br /> building and suah ncw building is actually under constructfon), <br /> 8. Septia systems rnust be ahandoned per Minnesota Rules Chapter?080. AU septic tanks <br /> must be pumped,crushed and�illed with nati�ve soils, An inspection is requircd after the <br /> tanks are pumped and bcfore the tanks are crushed and f lled, <br /> 9. Thc undersigned owncr shall and hereby does indemnify and hold harmless the City oP <br /> Orono,it�agants,employees and assigns from�nd against all claims,damages, tossos or <br /> expenses,including attorney fees,agafnst the City, its a$ents,cmpioyees and asaigns arising <br /> out nfor resulting flom the demolition described herein as performcd by the property ownor, <br /> his employees,agcnts,subcRntraCtoTs or esslgns. <br /> PERMIT TYPE AND 1rEE CAY,CULA'I"ION <br /> � $54.00-Prinaipal Structura <br /> $30.00-Accessary Structure (haw many) (what) <br /> `�Q..� <br /> 1. Subtatsl of above permit requcsted $ <br /> 2, Statc Surcharge $ •Sd <br /> 3. TOTAL pB+RNIIT ' 'E(add lines 1-2 above) S �a •� <br /> Thc undersigned hcrby applies to City af Qrono for issuancc of a Dcmolition Pe��nit�agrees <br /> ta do all the work in a strict ac e with thc ordinenccs of the City and tho reguJations of <br /> tha State of Minnesota,and het all statements made on this applicatian arc compinta, <br /> truc and anrrcct. <br /> Appllcan#'a 5i�naturs: pate: ��- '3��� <br /> Qwner's Siguatnre: . Date; /� � 4 <br /> Approvcd By: pate: � 2-�( -t�8 <br /> (Buit inS OfTiaisl) <br /> *Z,oaing D9sclosure Requfred? Y� ❑ NO <br /> r��$�uat be fillcd out by Zoning � —����gM'�'�a zonin�OPRcia!must 81gn all appllcationa� <br /> *Agproved Sy: Date: Z � d.�.._ <br /> (7�oning�ff54ia1) <br /> S�i'�}�y X��`jL �.11�;'��'�y��'.�"��li <br /> �`�' �z �ie?i,!£i�`�f��'���:�.;a+Sfi.IsAa��'n: <br />