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�Sop-04-2003 01:18pm From-CITY OP ORONO +g522484616 T-065 P.p02/011 F-783 <br /> ' ..,._..� � <br /> . <br /> . � ��'1 �=� - ��, �, �y � �,�p ,� <br /> CrTY CI�F QRUNO APPLICATI01�FOR DEMOLTTYdN PERMY'�' <br /> P.Q.Bax 66 (2750 Kelley Parkway) <br /> Crystal Bay,l�'IN 55:�23 �f ��� <br /> SPECYAL�CONDITTONS &Y3aLD HAR►'�IL�SS AG�tEENIENT `y:•-`" �\'� �' / <br /> ,��'v �� �, ,�(.,� <br /> General�nstructioxts '� ,( C� <br /> I, You may be required to obtain oiher permits, i,e.we]I aba.ndanr�uncnt, ctc. �� ,n� � <br /> 2. Work must not begin unlcss thc permit card is available on the}ob site. �� �'1�'' <br /> 3. A 2�hour notice is required far all inspcctions, Call{b12}249-4500. �� � D� <br /> ,� � <br /> TE ADDRE�'S: ..�� C"� �f--`� I'r? l�L t�c---���� �C''� <br /> JOB SX <br /> Occupancy Type: _ Residential �CQ���cial <br /> Y r � � �' V�1.e_� � phor�e: �� ' _ � ��� � <br /> �WNER'S NA�'IE:, � <br /> Mailing Addres5:�"` '�► City: <br /> / r <br /> C'�'d�t'S N'AN�E:_) 4� � .z�Jit-�.:''f" Bus.No,: _ — � _ '�� <br /> CQNTR4 City:l� ' <br /> �, '1 <br /> Mailing Addz�ss: S�C' �- � �� - <br /> r <br /> Dernolition if plannc:d by means of. manual disassem,bly <br /> �heavy equipmeni <br /> Permits Issued; <br /> # Well Abandonment , <br /> � , <br /> In returrx for issuance of said Demolition Permit,the undersigned orvn�r hereby agrees as foilows: <br /> 1. 7he structure(s) shall be kept onclased az�d/or secured tu�til such time as demolition is <br /> complete, <br /> 'i Dcmolition debris will be kept off adj oining proptrty andlor the public rights-of wa�unless <br /> specific prior approval is obtained in�vriting for temporary use thercof. <br /> 3, Foundatian.<<shall he completely removcd fro:n the graur�d. <br /> �., A11 dema4i�ion c3ebris shall be c�mpletely disposcd of off site 'sn aceordance with ail <br /> applicable F'CA rtquiremcnts. <br /> 5. Water well:c must be abandoncd in accordance with State�Iea.th 17epartzuent regulations. <br /> 6, Inspcction��equired when all debris has hecn removcd,before backfilIing. <br /> . * <br />