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�o����� � <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 55323 <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> General Instructions <br /> l. You may be required to obtain other permits, i.e. well abandonment, 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 (952) 249-4600. <br /> JOB 5ITE ADDRESS: �z G'� ��-"�L T�S t"Giti�T �or�D <br /> Occupancy Type: _��Residential Commercial <br /> OWNER'SNAME: �U(��Cp � `>I-ll'?(JGHN�SS� Phone: ys�` ZZ��—Z�" DI <br /> MailingAddress: r0�(oz. �S�RTc= !�lz�VL City: �aC�J f iQ�9i �e�C ��3y� <br /> CONTRACTOR'S NAME: �'�� ��QI GKS ON Bus.No.: 7l03- y�9- I l07 <br /> MailingAddress: (p70.� �IC-,NW/9 y �L City:ll'1�9(�LE /9� N i'h1U 5�3�q <br /> Demolition if planned by means of: manual disassembly <br /> �heavy equipment <br /> Permits Issued: <br /> # Well Abandonment �-�%f��U�� -�-L mFLE�(=� �� �JU3 <br /> In return for issuance of said Demolition Permit,the undersigned owner hereby agrees as follows: <br /> 1. 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 unless <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. Inspection required when all debris has been removed, before backfilling. <br />