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1 <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, N1N 55323 <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. well abandoiunment, 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 /> � <br /> JOB SITE ADDRESS: ���� �� �/��� <br /> Occupancy Type: Residential ommercial <br /> OWNER'S NAME: �L,�� ���X Phone: �� � —`1,��""�� Y� <br /> Mailing Address: �z � �,� ,��,����P ���� City: ` <br /> CONTRACTOR'S NAME: ��¢/� `�p ,� Bus.No.: <br /> Mailing Address: ��� �, � City: <br /> Demolition if planned by means of: manual disassembly \,���s- <br /> -�C heavy equipment �� <br /> �-� ����r <br /> Pernzits Issued: ` <br /> #�Well Abandonment <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as follows: <br /> 1. The structure(s) shall be kept enclosed and/or secured until such time as deinolition 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 when all debris has been removed, before backfilling. <br />