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MAY-12-2a09 09�42 310 459 4812 310 459 4812 P.02i02 <br /> - - -� -- -- -�-� - - - - - - .-- -- <br /> • � ,."'� , <br /> 2. Demolition flebris will bc kept off adjoining pz�perty ar�d/oz the public rigi�is-of way unless <br /> specific prior approvat is obtained in wril��ng for temporary use thereof. <br /> 3. Foundafiions shall be complctely xe�oved from tlie ground. <br /> 4. All demolition debris s1�a11 be complel�ely disposed of off site in accozdance witli all <br /> ap�li.cable PCA requirements. <br /> 5_ V1Taiet wells znustbe abandoned in accorda�►ce with Stabe Hcalth De�partment t�egulation.s. <br /> 6_ Inspection required when all debris has bEcn.removed,befare backfilling. <br /> 7. Within 5 �•otking days of superstructure removal,a�nal inspection shall be rcquested. The <br /> sit'e shall be left clean a�nd c�r�o�'all debris,with any excavatiqz� filled with eauth loveJ with <br /> the adja.cent ground elevarion(eaccept when such,excavanon is to be used as pan of a neK <br /> buildi»g and such new building is actual.ly unde�r consttuc4on). <br /> 8. 5eptic systems must be abandoned per Minnesota Rules Chapter 7080. All septic tslnks <br /> must be pumped,crushed and�illed with native soils. An inspection is requi�ed ai�r the <br /> tanks are pumped and before the Canks are crushed and filled. <br /> 9. The undersigned ow�er. shall and hereby does ind�mni�'y and hold harmless th� Ci�y of <br /> Orona, its agents, amployees and assigns&om and against all claims, damages, losses or <br /> expenses,including atrnrney fees,against�i.e Ci.ty,its agents,employe�s aad assign�ari.6ing <br /> out of or resulting from ths demolition desctibed hcreia as performed l�y the propetty orvneT, <br /> hi,S err�ployees, a.gents, subconiractor.$or assigns. <br /> PERMIT�E A�lJ FEE CALCULAI'ION <br /> ✓0 �75.00�Pzin�cipal Structure <br /> tlouse <br /> [] �50.00-Accessory StNctux+e� (h.ow many) (what� <br /> 1, Subtotal of above pertnit requested � 75.00 <br /> 2. Stat�8urohar.ge � .50 <br /> 3. T,OTAL YERNIIT FEE (add lines 1-2 above) S <br /> The undezsig�ed herby applies to tl�e City of Orono for issuan,ce of a Demo�ition Permit, agrees <br /> to do all the work in a strict accordance with the ordinances of thc C�ty and the regulations of <br /> ihe State of Mituzesota,and certifies that a11 statezz� made on this application ate c�mplete, <br /> truo and cozrect. � <br /> ' S' Acure: G��--� � Date: 3 /2 O. <br /> Appiicant s��gz� <br /> Owner's Si nature: �� Aate: � cJ`�" <br /> � <br /> Approved S}: Da.ce: S- � `/- a °J <br /> (�uilding Offic`IS��� <br /> "' Zoni�g Disclosure Required? Q YES �❑ NO <br /> xThit must be fi11ed nut by Zoning Department-For either xnsvex,a Zaning Of'Czcial must sign all applicadons_ <br /> * A�proved IIy: Da.tE: <br /> ...__._.........--------.... ...,..__.. <br /> (Zonin�Official) <br /> • -• •:.. ...,}-;-:-��:,-��- : <br /> ;�c�o��lll:': " <br /> Tf1TAI P_G1� <br />