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4. S�l�mit��2.5Q0 escrow�r�d .�n �serow agreernent signet# tay#he prope�y o�vn�r. <br /> 5. ��e��Il sfructure(s) enclpse� andlor secur�d us�til such iirne as d�:ms�l€tiun is eamp4ete. <br /> 6. Keap aEl demolition debris t�� adjaini�tg pr4pert�r andlor ths pub4'sc rigY�ts-of way unfc�ss sp�cific <br /> prit�r��prnva! is c�t�tain�d in �.�rrifing for ternpor$r�y use thereof. <br /> 7. Completely reir�ov�four�d�'�ion�s�frorn the�round. <br /> 8. CampleteCy disposs cf a!I der�toliti�t� deE�ris of# ss#e in accorti���ce �vith a1{ app(icable 3�CA <br /> requir�m�nts. <br /> 9, ,4tsando� water wells sn accerdance wifh �tate Heal#h D��a�tment regu(ations. <br /> iCt.Call fc�r ar�inspectior, when a;l t�ebris has bee� removecf, befor� t�actcfilling. <br /> 'i 1. I,Nithin 5 warking d�ys af su�ierstructure rem�val. � firal inspectian sh�l� k�e request�;d. The sit�: <br /> � shaEl be left clean and cle�� of a#( d�bcis, w�t� any excavatson fi(1��i w�i#h eart€� lev�! �rrith tl�� <br /> adjacent rrouncf eE�vation ��xce�at wher� such ex�avafian is tc� !ae us�ci as part af a new�u6ldin� <br /> and such n�w buildii�tg is acluaily�ander cc�nstruction). <br /> 12.Abar��on se�tic systerns �a�� ;��in�esot� Rules C�a�ter 7C7�0. All�ep�ic Car�ks mus� be pt=m�e�; <br /> crusheci ancS fiiled ��rith naEive. soils. An inspectior� is requir�tf �fier the tanks are �urr�psd ant? <br /> k�efore the tanks are crrss�ed �x�d fill�d. <br /> �3,7h� ursd�fsign�d o4vner shail and h�rr�by does incier�nify and hoi�i h�rrrtl�ss the City oi C3ror�t�, <br /> its ager�ts, empi�yees an� ��signs from �nd agair�st aif ci�ims, clarnages, IQsses ar expe��s�s, <br /> ir�c�uding aitarr�ey fees, a�,�inst the C;st�,r, <ts agents< ernployees and assic�ns arisinc� aut c�f c�r <br /> r'�sultirrg trc�r�a fhe derna�i#ion desiribeti t�erein a� ��rformed t�y ttte �rnperty aivr»r, his <br /> empioyees> a�ents. subcon�r�ctors or�ssigns. <br /> PER�'tlT TYPE A[�C� F�E CALCULAT�{�N <br /> �{ �75.QQ— Princ'tpaf St�uct�c�� � �s -- <br /> � ��(1.00 —Accessory Struytu�� x----.--(how many) <br /> �. SubCotal of at�a�=e �e�-mit request�d � <br /> 2. State Surc�t�rge �.�0 <br /> 3. TQ'CAL PERMIT �EE �add lin�s 1-2 ab�ve} �� ��- � ...._., <br /> The under�ign�d i�erby ap�lies i4 ��3�: Cif.y of Qrono for issuat�ce af a [3emo(iti�n P�rmit, ac�rees to c4o <br /> s11 the wc�r� �n a �trict acca�danc� �;�tth Eh� ord`tr��n�es of the Ciiy �snd t'�e regulatir�ns Qf the State cf <br /> Mir��esc�ta, and cc;rtifies that aEk sta���r��ei�ts rtzada o�tlais appiicatian�!e complete, tr�e�ncf caerec�. <br /> � � <br /> �Oppiicani's S��nature: '��._ �f��''� _ C7ai�. ��"'� �Jt_.....___--- <br /> �,� <br /> dvsrner's�ignature; __ .,m._ L7�te: �1y���i� L� 1 3 <br /> Approved By: ._�. �" '`ti"`—� _ [3�te: _ C `1 - ZL i� <br /> {.�tjil�ing C3tfici�f} <br /> ���r�tt�g�Iscic,sure Requir�cl? („�,� YES (��3 � <br /> 'This must b�filEed aut t�y�c�n;r�� C3��aartrnent--.Fr�r e' er answ��er,a Zonirsg Offici�i must sic�n aiI��SplEcali,��s. <br /> * Appraved By: �_� � Daf�: <br /> (�c�ning Ol9icia3) <br /> V'a��anc� � �ZA.��� <br /> �� � ��� <br />