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- � � �����; <br /> . <br /> . <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERNIIT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 55323 <br /> SPECIAL COivDITIONS & HOLD HARMLESS AGREEMENT <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burning, well abandonminent, 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 /> � <br /> JOB STTE ADDRESS: % � �� �_>��Ji / <br /> Occupancy Type: ► Residential Commercial <br /> OWNER'S NAME: �C. �.,�, W �S h Phone: '-1 �o'�o� .Z- <br /> Mailin� Address: � � City: Z,o., � <br /> CONTRACTOR'S NAME:��'L��� �/G/�- Bus. No.: �7�--//�a <br /> Mailing Address: /.��,� �o �:� � � City: �,����/� <br /> Demolition if planned 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 <br /> follows: <br /> l. 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 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 /> $. Water wells must be abandoned in accordance with State Health Department regulations. <br /> 6. Inspection required when all debris has been removed, before backfilling. <br />