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� <br /> i' � <br /> , - ,i � r <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 HARMi,ESS AGREEMENT <br /> General Instructions <br /> l. You may be required to obtain other permits, i.e. well abandonmment, etc. <br /> 2. Work must not begin unless the pernut card is available on the job site. <br /> 3. A 24 hour notice is required for all inspections. Call (612) 249-4600. <br /> �.1�•p-? _ <br /> JOB SITE ADDRESS: •�� � c� � ;• ;r { �.�h° �i����� <br /> Occupancy Type: �,� Resid ntial Commercial <br /> OWNER'S NAME:���,,,Y���k�,ri 1-�t�V'rN�r� �:N�.,�F,� tl ��.�� ������phone: C�i a-- ��`� - `'t cx�o <br /> MailingAddress:.(;,�c�,�s C'�� �� � City: 4�i.tirti,�,`t+�, , N�t� <br /> CONTRACTOR'S NAME: sec.-C� Bus. No.: <br /> Mailing Address: City: <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 Pernut, the undersigned owner hereby agrees as follows: <br /> 1. 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 when all debris has been removed, before backfilling. <br />