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. i, � r ��, .� <br /> , -:, . .. � _�� �� �+..,'e:,K� . <br /> :,(� , `-�` <br /> r`i ) ��1`,��.���'� <br /> ' � ;�- <br /> ,�,.;`. �, , <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, NiN 55323 <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> General Instructions <br /> 1. You may be required to obtain other pennits, i.e. well abandoiuninent, 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: � �� �= �% 4 -'�S�H <br /> Occupancy Type: '.%"�Residential Corriinercial <br /> �� � <br /> OWNER'SNAME• � ��,c�1�� /`� �S _� Phone: �'/� — L�:� . •5�"�� <br /> .T <br /> Mailing Address: r �' � 1tY�_/��� ,r���l�-,�-� ���� �..�—S'�Q�� <br /> / , ���TTT <br /> CONTRACTOR'S NAME: >� .. s.No.: �, 5� �•- ����` <br /> Mailiiig Address: �,'` City: f� <br /> Deinolitioi7 if planned by means of: m nual disassembly <br /> r�laeavy equipment <br /> Permits Issued: ��;�-� <br /> # Well Abandoninent <br /> In return for issuance of said Demolition Permit,the undersigned owner hereby agrees as follows; <br /> 1. The structure(s) shall be lcept enclosed and/or secured until such tiine as deinolition is <br /> complete. <br /> 2. Demolition debris will be lcept off adjoining property and/or the public rights-of-way Luiless <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. Inspectioii required when a11 debris has been removed, before backfilling. <br />