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CITY OF ORONO APPLICATION FOR DEMOLITION PERi'�1IT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 5�323 `u� " <br /> G <br /> SPECIAL CO�ITIONS & HOLD HARi�fLESS AGREE��NT <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burning, well abandonmment, 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 473-7357. <br /> JOB STI'E ADDRESS: I b a S �D lj�lS �D� � T �� <br /> Occupancy Type: Re�de�s ercial <br /> • 37� - '�!D '1 - � <br /> ow�rEx°s N��: C7'�rNsCow TRksT- iUd��....�,Tiu.�Phone: `�7 f - 7� yo - ff ', <br /> Mailin� Address: /S9.s �o�i,vs P�- �Cc� ciry: �,q�Z�r� <br /> � ' sus. No.: y74— /�a'7 <br /> COiv'I`RACTOR'S NA.A�: l�/•�- � � <br /> Mailing Address: 67�s /✓' 1 a City:�� <br /> y-�c..�e. . ._ s—�3- 4�4 v <br /> Demolition if planne by means of: manual disassembly <br /> � heavy equipment <br /> burning (by fire department) <br /> Permits Issued: <br /> # Burning Fire Department <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as I <br /> follows: j <br /> 1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> ,_._ I <br /> l;liiii�iic�c. I <br /> 2. Demolition debris will be kept off adjoining 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 /> 5. Water wells must be abandoned in accordance with State Health Department regulations. <br /> fi, Inspection required when all debris has been removed, before backfilling. <br /> ��r�� <br /> � D <br /> ; <br />