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� <br /> � ��� `1� � � <br /> . - � <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PER�tiiIT <br /> P.O. �3ox 66 (2750 Kelley Parkway) + <br /> Erystal Bay, �IN 5�323 � . <br /> SPECIAL CO�'DITIONS & HOLD HAR�I�ILESS AGREEMEti"T <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burnin�, well abandonmment; etc. <br /> 2. `�Iork must not be�in unless the permit card is available on the job site. <br /> 3. A 24 hour notice is required fo all inspections. Call 473-7357. j <br /> JOB SITE A.DDRESS: "7'�� .�' � � <br /> Occupancy Type: � Residential � Commercial <br /> � �l <br /> ���+/ ��' <br /> OtiVNER'S N�tiiE: ,�iPcG o�y ,�'� � '��.l,-✓�r� Phone: �S �— �G'� � <br /> Mailin� Address:��-�S� L.�✓�/,�c;ar.l �/�/ Ciry: Li/. �`T'- ,4G�� �T�,/•i/ � <br /> � <br /> co�rrRacTox�s �val�:" �.,✓�ra,� ,� �,����-Bus. rro.: y�Y- �r�.�5i <br /> Mailing Address: � ' � City: Fxc;c`c-s z�tR ���✓� <br /> Demolition if planned by means of: manual disassembly <br /> _�� heavy equipment <br /> burning (by fire department) <br /> Permits Issued: <br /> # Burnin� Fire Department <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as <br /> 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 adjoin.ing property and/or the public rights-of-way <br /> unless 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 /> $. Water wells must be abandoned in accordance with State Health Department rebulatio�. <br /> 6. Inspection required when all debris has been removed, before bacl�'�lling. <br />