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� . �o �d <br /> •` • ,.�/y.,w',r; ,r �' d:� , <br /> � � � .� S �l <br /> . <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 /> 1. You may be required to obtain other permits, i.e. well abandonmment, etc. <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 /> JOBSITEADDRESS: �=�$� �yS,o £ �"�::.�r� <br /> Occupancy Type: Residential Commercial <br /> OWNER'SNAME: �2K �o Lts.�t S�m:� Phone: <br /> MailingAddress: 46�'S 3.�ri+s,s�� 2 � City: nrzv,� �=� <br /> CONTRACTOR'S NAME: ��F'�+�£ E'�r� (�:��S7�c7�s,�Bus.No.: %5Z-�;2-277Z <br /> MailingAddress: (�1�14- ������n� MCma2r�rt �2, City: -Tc,��.:, m r.l Ss',�S 1_ <br /> Demolition if planned by means of: manual disassembly <br /> ✓ heavy equipment <br /> Permits Issued: <br /> # Well Abandonment <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 w-hen all debris has been removed, before backfilling. <br />