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May, 14, 2Q09 11 : 22AM kevitt companies inc No, 0378 P, 4 <br /> � � ; � . . <br /> . <br /> 2. I?eruolition debris will be kept aff adj o'�ning properry and/or the public rights-of way unless <br /> spec�ific priar approvat is ob�nec�in writi.ag far tempArary use thereof. <br /> 3. Faundations shall be completely rernoved from the ground. <br /> 4. All dem,olition debris sha11 be completeiy disposed of off si#c i.0�ccor�danc�with all <br /> applicable PCA requirem�nts. <br /> 5. �V�ter weYls must be ab�ndon�i in accordance with State Health Department regulations. <br /> 6. Inspection req�ired when aI1 debris has been removed,before backfilling. <br /> 7. Within 5 working d�ya of superstxucture remov�,a faual inspection ahhail bo requested. The <br /> site shall be left clean and elear of a[l debris,with any excavatiou#`illed with earrh ieve�with <br /> the ac�jsceflt ground elevation(except when such excavation is to be used as pa�t af a new <br /> b�aildiag and such new building is actually undex constructian). <br /> 8. Septic systems mu�t ts�abandoned per Minnesota Rules Chapter 7084. Alt septic tanks <br /> must be pumped,crushed and�lled with nati�e soils. An inspection is rec�riired after tlze <br /> t�nks are puinped end bcfor�the tanks are crushed and fflled. <br /> 9. The�undersigned owner sh�ll and herehy does indemnify and hold harmless the City of <br /> Orono,its agents„ernploycos and assigiis gam aad agairist aU claims,damages,losses or <br /> expenses,including attamey fees, agai.nst the City,its agen�s,employees a.ad assigns arising <br /> out of or resulting from�e dexnoiition describcd herein as performsd by the properry owner, <br /> his�nployees,agents,subcantractors or assigns. <br /> PERM�T TYAE AND FEE CAT�CULATION <br /> ,�$75.00—Pr�ncipal Structure <br /> Q S50.OU--,Accessory �ttvcture (haw many} , - --- (wh�t) <br /> 1. Subtotal of above permit requested $ � <br /> 7. SYate Surc�ar$e $ .50 <br /> 3. TOTAL P�►�t1VIIT FE�+ (add lines 1-2 above) $ ���b <br /> Tb�e undersigned herb�applies ta the City of Orono for issuance of a I?emolition Permit, agrees <br /> to do a11 ttl�work 3n a strict aceo with the ordinances of the City and th�regulatio�ns of <br /> the State of Minnesota,snd ce " t all st�t�nents made on this application��re compl�te, <br /> true a�d corre�. <br /> �___.. ��1 �� <br /> Appl�caeE'�SI�tature: Date: � <br /> Owner'g Signsture: � -- Date: S / 8� <br /> � � <br /> Approved By: � Date• r�'� Z 7 "t9� - <br /> uilding O�scial) <br /> * Zonl�qg Disclosure Required? YES NO <br /> �''1'his must be filled oUt by Zoning pa t— c � answer,a Zoning Official must sign a11 applica.tions. <br /> �Approved By: Date; ���Q� <br /> o g official) <br /> ���s'���� i � � �„�Sd;� � , .a <br /> S � � <br /> pd;�,�t'�l����;��R�: r�.,: <br /> . ..,... , . , . _. _, <br />