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� ' .`�� <br /> ��� <br /> _ �, -��I l�� <br /> � 1-� �: <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, NIN 55323 <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. well abandonmment, 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 (612) 249-4600. <br /> JOB SITE ADDRESS: � �Z�� �O N c.�t�-,`���3 `� I <br /> Occupancy Type: � Residential Commercial <br /> w�1 <br /> OWNER'S NAME: l..qe.�.� Ct�.l�` Phone: `�� I �' 7�"� <br /> Mailing Address: `���ry� City: � (�?�-t� <br /> ��...�. ��z-��--�a ic� <br /> CONTRACTOR'S NAME: � �`��1�JS F►•l H�t����c�+� Bus.No.: �`J�-'��-OR`'`f" <br /> Mailing Address:j7�0.�jc t0�`� "' City: �t-��rv c�35�n� <br /> Demolition if planned by means of: manual disassembly <br /> �_heavy equipment <br /> Permits Issued: <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as 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 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 backf'illing. <br />