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� , � �,�� <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 55323 <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> General Instructions ��- -�� � <br /> l. You may be required to obtain other permits, i.e. well abandonmment, etc. � 4 1999 � <br /> 2. Work must not begin unless the permit card is available on the job site. <br /> 3. A 24 hour notice is required for all inspections. Call (612) 249-4600. .. <br /> � <br /> _��3�� � ..�:.� <br /> JOB STTE ADDRESS: v;���� (�C�SCD '� lyrt; �i?� <br /> Occupancy Type: � Residential Commercial <br /> OWNER'S NAME: 7 {�1.7-`C� �1��C:; �J"�,� ' Phone: �PQ�`c�� �- �.J,J`� <br /> Mailing Address: City: ��/SCa ��- '��-�'� <br /> CONTRACTOR'S NAME: �/-},C,� y,�s�y��{C�7QY1,,�'n 'c�V. Bus. No.��/�c� g J�- j�0� <br /> Mailing Address: �C) . �,p�C oc`T�7 City: �t?%Q r�S h/1/� ��3�� <br /> i;Pl��n,v l��,N 5���'�,� <br /> Demolition if planned by means o£ manual disassembly <br /> _��heavy equipment <br /> Permits Issued: <br /> # Well Abandonment ��,, �„`�,j( , <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as follows: <br /> l. 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 adjoining property and/or the public rights-of-way unless <br /> 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 regulations. <br /> 6. Inspection reQuired when all debris has been removed, before backfilling. <br />