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- �r�c �_.i i � i_ii- i_i{-'Lihli i �� <br /> 1�-�f.,j-(._1C� ���� <br /> � � � <br /> � � 3 <br /> CITY OF aR02�10 Ak�LICATZON FOR DBMQLITIO� P}�RN7T <br /> P.d. Hox 66 (1335 So Brown Rd) <br /> Cz'ystal Bay, MN 55323 <br /> 1�F'ECIAL CONDITZpNS & HOLb HARMLESS AGRF�'MENT <br /> *�**�*t*t*t����t*�r�r�e ,r* t*f�*x,r*,e***r�*�*�r*:******�****�r*�*�����*�+ra�*****�** <br /> G�riexa� Zastruct�ons <br /> 1• You may be requi��d to obtain vther permit�, �.�. burn�.ng, we I1 <br /> abandonmmen�, etc. <br /> 2• Wozk mus� nati begin unless �he perm�t oard is available on th� ]ab <br /> site. <br /> 3. All work must be �r�sp��ted be�ore it �6 covered. Call 47�-7357. <br /> � �4 goax rro�cz c$ �s ��IIzxsn - <br /> **��*�*�***�****���*��***�***�,�*��***��� �**�� **�****���**�***�,�*��***t* <br /> J�g SITl3 ADDRESS: .EiC�C'c5 Y"p rI�T �D� <br /> a�cupanay T���: __ xesic�en�ial �C�nut�e�cial <br /> oWNER'8 N,����= P�� �; � �A v� Phone: � .��� adcSO <br /> Ma�.ling Addr�s�. ����. <br /> CONTRAC�OR'S NAMS= � L G � Bus. No. : ,�/-a� <br /> Mail�ng �ddsess: C —� � ���� <br /> ��t**�*�*��***********r�*��******,r� f*�** *rrx�:t****��****�****�r,r:t*�*� �*tt �.� <br /> J��moli�ion �f planned by means o�: ✓manua,l disass�mb�y h�a vy equipment <br /> ✓burning (by fixe departmen�.? <br /> Pe�mi�s Issuedz <br /> # Burn�ng rix'e Aepaz'tmez�t <br /> #� W��1 Abandanmenk, <br /> In r��urn far �ssuanc� Q� said DemQlitiori P�rmi�, the unders�gned owner <br /> hereby agr��s as fa�Zow6s <br /> 1• Th� S�ructure(s) shalZ be kept en�lo6ed and secured until sv��h �.ime as <br /> clemolit�on is comg���e. <br /> 2. bemolXtion deb�i� will. be ke�t aff adjo�ning Fz���r�y �nd/or the <br /> pubZic xa.gh�s-of-way unieas speoific prlor a�;proval i.� abi�ain�d ir� <br /> wr�.tiny for tez��porary use therea£. <br /> 3. A]. � demoli.t�oz� debris w� ll be complete?.y disposed of off ��te $n �� <br /> ' approved land�i ]� � and in acoordance wi�h aIl a�� licable riCA <br /> reqc�irements (including �punda�f.On). <br /> 4 • Upan cample�ipn, �n@ �c,rf�hin 5 working days a� superstxucture rempval, <br /> �he sit� shall b� xeft cl�an and c],ear of a.11 deb�3.s, with any <br /> excava�fan f�. � lec� with earth, Ievel with the adja�ent ground <br /> elevation, exce�t when such excavatiion is ta b� used a� �ar� of a new <br /> building and such new bu�Zding is ac�ua�.ly under C:C�I75tYUG�:�-OA. <br />