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r ' <br /> 5. i�eep aii demolition debris off adjoining praperty andJor the public rights-of way unless sp�ci�ic <br /> prior approval is obtained in writing for temporary use thereof. <br /> o. i oir�gieteiy re��ove founciaiion�s} ir�ni iiie �rounu. <br /> 7. Cor��letely dispose of all demolition debris off site in accordance with all applicable PCA <br /> r�quirerne:ts. <br /> 8. Abandon water wells in accordance with State Health Department regulations. <br /> 9. Call iar an i�:s�ecEion��hen all debri5 has been rernoved, before backfiiling. <br /> 10. Within 5 working days of superstructure removal, a final inspection shall be requested. The site <br /> shali be Iei� clean and clear of all debris, with any excavatian filled with earth level with the <br /> adjacent ground elevation (except when such excavation is to be used as part of a new building <br /> and such new buiiding is actually under construction). <br /> 11. Abandon septic systems per Minnesota Rules Chapter 7080. All septic tanks must be pumped, <br /> crushed and filled with native soils. An inspection is required after the tanks are pumped and <br /> beiore the tanl:s are crushed ancl filled. <br /> 12. The undersigned owner shall and hereby does indemnify and hold harmless the City of Orono, its <br /> agents, employees and assigns from and against all claims, damages, losses or expenses, <br /> including attorney fees, against the t;ity, its agents, employees and assigns arising out of or <br /> resulting from the demolition descri�ed herein as performed by the property owner, his <br /> employees, agents, subcontractors or assigns. <br /> PERMIT TYPE AND FEE CALCULATION <br /> � $75.00—Principal Structure $ 75 _u0 <br /> ❑ n5�;.��—��Les�oiy Sii uci�uce X (l�uw t��at�Y) <br /> 1. Subtotai af ab�ve permit requested $ <br /> 2. State Surcharge 5.00 <br /> 3. TOTAL PERMIT FEE (ad.d lines 1-2 above) $ �� -� <br /> The undersigned herby applies to the City of Orono for issuance of a Demolition Yermit, agrees to do all <br /> the work in a strict accordance with the ordinances of the City and the regulations af the S�ate of <br /> Minnesota, and certifies that all statements made on this application are complete,true and correct. <br /> Applic:�nt's Signature: Date: 5 - - 12 <br /> Owner's Signaturea y Date: <br /> Approved f3y: � llate: 6 -f — '2 <br /> ( ilding Official) <br /> * Zoning Discicsure Rec�uired� YES ❑ NO <br /> *This must be filled out by Zoning Dep ent—For either answer,a Zoning Official must sign all applicarions. <br /> * Appraved Bs�• `�� `r`�l�J�A.�p v � Date: �.t� ���� �- <br /> (Zoning Official) <br />