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.��-� �On r� O�C�-o �� � <br /> �2_�3 � i ��j� .- �(�(1� <br /> �.� � �e � � 1 _ � <br /> � � � <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PER�YIIT <br /> � s� � <br /> P.O. Box 66 (2750 Kelley Parlcway) <br /> Crystal Bay, MN 55323 <br /> SPECIAL CONDITIONS & HOLD HARivILESS AGREEMENT <br /> General Instructions <br /> 1. You may be required to obtain other pei-mits, i.e. well abandonment, etc. <br /> 2. Work must iiot begin unless the pernlit card is available ou the job site. <br /> 3. A 24 hour notice is required for all inspections. Call (952) 249-4600. <br /> JOB SITE ADDRESS: � �O����� ,/ ��i� <br /> Occupancy Type: Residential Commercial �� �iitl_ /� � <br /> JaC � i �661�{ �f <br /> OW�1ER'S NAlVIE: , Phone: � <br /> Mailing Address: /(,b� City: _ <br /> �nl�'a'1�C'�'OR'S NAll�dE: L•��—d r/���:��'��us.N :� �G' � � <br /> Mailing Address:���? /V�'� G.� City: <br /> Demolition if planned by means of: manual disassembly <br /> �_heavy equipment <br /> Pernlits Issued: <br /> # Well Abandonment <br /> In return for issuance of said Demolition Pennit, tlle undersi;ned owner hereby agr�es as follows: <br /> 1. The struciure(s) shall be kept enclosed and/or secured until �uch time as demolition is <br /> completc. <br /> 2. Demolition debris�vill be lcept off adjoinin�property and/or the public rights-of-�vay unles� <br /> specific prior approval is obtained in writing for temporary use thereof. <br /> 3. Feundations shall be conlpletely 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 accordlnce with State Health Department regulations. <br /> 6. Setiver and�vater must be disconnected at ih� services at the street by qualified contractors. <br /> 7, Inspcction required when all d�bris has been removeci, before backfillina. <br />