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a5o ek,�rc�o �I o9/5�8 ( <br /> 9-7-0� "J� <br /> . . �`�Q�, <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 abandonment, 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(952)249-4600. <br /> JOB SITE ADDRESS: '��'�� �` �-� ;�-���`=-f'�ti�i ��U 4-- - <br /> Occupancy Type: �� Residential Commercial <br /> �/, iu�- .�t.�n <br /> OWNER'S NAME: ��� �-l`r" ,��T(�:=��`��� .a�.l`;�i� Phone: ���j �1�r1�� -�i>'? <br /> MailingAddress: :���'� ��"� � � �_ �D<j-f-E �1� Ciry: �}/��{.- <br /> CONTRACTOR'S NAME: ��='>.=; C� �% Bus.No.:�f"�-(-- "��'��% �>—�'�?Ci C%I�-Ci <br /> Mailing Address: City: <br /> Demolition if planned by means o£ 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 temparary 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. Sewer and water must be disconnected at the services at the street by qualified contractars. <br /> 7. Inspection required when all debris has been removed,before backfilling. <br />