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�� ' � <br /> ► "`=-�-i�� � <br /> CITY OF ORO�'O APPLICATION FOR DEMOLITION PER1tiIIT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, �IN 5�323 <br /> SPECL�,I. CO�'DITIOtirS & HOLD HARiti1LESS AGREEl�1E\TT <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burninQ, well abandonmment, etc. <br /> 2. `�ork 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 473-735 . <br /> ��,n-�- <br /> JOB SITE �DDRESS: ��� ,� C� C�c� t � ? . <br /> Occupancy Type: �_Residential Commercial <br /> OWNER'S NQ��IE• �, ,� �� � � Phone: =-�� '�--`�/(}�] <br /> Mailin� Address: � << � � �• C1�'� ��'r� •� � " <br /> ��C;..l� � <br /> CONI'RACTOR'S NA11'IE:�ci v� �X�c � Bus. No.: �f 7I'C 5 �� <br /> Nlailing Address: �,��' ��r � ,�y5 City: S�n,- �`�� �'«r- IC <br /> Demolition if planned by means of: � manual disassembly <br /> _� heavy equipment <br /> burnin� (by fire department) <br /> Permits Issued: <br /> # Burnin� Fire Department <br /> ## Well Abandonment <br /> In return for issuance of said Demolition Permit, the undersigned 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 adjoinin� 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 reb lations. <br /> 6. Inspection required when all debris has been removed, before bacl�"�lling. <br />