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� Se�,09=200� 09:35am From�CITY OF �R�NO � /1 +9522494616 T-997 P 002 F-924 <br /> � n lJ <br /> � �U <br /> . �� � , ��� <br /> ���� �� <br /> �I7C� OF° �R�?�T� ' �lP�L7CA�I0I�I FOR�Ei�14T..,ITIO�I �'���' <br /> p.Q. �ox 66 (27�0 I{elley Parkway) <br /> Crysta��ay, l�ifN 55323 l} <br /> ' 1� <br /> SP�CI� �OT�IICY�NS � HO�.D �-TARMLESS AG122EEMIENT <br /> ��. <br /> Genea-al T�stt'uetio�� <br /> �, `You sn�y be r�c�uired to obtain. other permits, i.e. �well abandonnunene� etc. <br /> 2. Work must not begiri unless th� permit cazd is available on the job sitea <br /> 3, A 24 hour notice i� requirerl for all inspections. Call (612) 249-4600. <br /> JQ�sr����a�ss; I�-2.5 (����-�-;� ��-��-�, <br /> Occupanc� Type: ��(, _Residential Comn�ercial <br /> OWNEIZ'S NA1��SE:_ �� ��s `� ���"� Phone: �.e I Z.- �'�S I -31-1�i � <br /> Ivlailixi�P�ddress: ��o �Ma.c��r� � v�<<= City: C`�,�5 55�IL� <br /> �OI�TTItACTO�'SN41dIEo� �� �Ar�-E�'�wc-°�e� Bus.i�o.:ctSZ- �-l�--ln-S�t`�1�1 <br /> Mailing Address: a�- City:!f��-0�.�1�em ���i � <br /> Demolition af plaiuzed by means af: manual disassembly <br /> �_heavy equipment <br /> Permits Issued: <br /> # Well Ab�ndonment , <br /> In return for issuanc� of said Demolitior�I'ermit, t�:e �indersigned o�uner hereby abrees as follotivs: <br /> 1. The st�ructZue(s) shall be �.ept enclosed andlor secured until such t�me as demolitzon is <br /> corriplete. <br /> ? �emolition debris will be kept off adj oining property andJor the public rights-of-�vay�nless <br /> specific priar approval i5 obtained in�uriting for temporary use thereof. <br /> 3, Fo�da�ions shall be completely removed from the ground. <br /> 4, A.il demolition debris shall be completel� disposed of off site in accordance tivith all <br /> a�plicable PCA requirements. <br /> 7. i��,Tater�v�:11s must be aban.doned in accordance vrith Stace Health Department regulatians_ <br /> 6. Inspectioa� rec�uira�d when all debris has been removed, beforc backfilling. <br />