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4. Submrt a�2.500 escrow and an esc.�ow aareement s�aned bv the�rocertv owne�(coov attachedl. <br /> 5. lceeo an sffucturelsl enaosea anaror securea unm sucn itme as Cfemalt�on ts oomo�ete. <br /> 8. Keeo ali demolitfon debris off adioinina orooertv andlo� the oubiic riahts-of wav untess soecfic onor <br /> ao�roval is abtamed rn writ+na for temoorarv use mereoi <br /> 7 Comoletelv remove toundaUonlsl from the arounc. <br /> 8. Comoletelv disoose of all demolfion c7ebns ott site m accordance v+nth all aoobcable PCA reouirements. <br /> 9. Abandon water welis in accordance with State Ftealth Deoartrnent reoulations. <br /> 10. Call for en ins�ect�on when ell deDns has been removed. before badcfilhno. <br /> 1�. 1Nrthin 5 woricirxl davs o/suoerstructure removsl. a 6nal insoection shall be reouested. The site shafl be <br /> left clean and dear of aU debris. with anv excavation filted with earth level v�nth the adiacent around <br /> elevation (excent when such excavation is to be used as oart of a new buildina and such new buildina Es <br /> actualrv under construction l <br /> 12_ Abandon sentic svstems oer Minnesota Rules Chaoter 7080. All seotic tanks must be oumoed. crusned <br /> and filled with native soils. An insvection is reouired aRer the tanks are numoed and before the tanks ate <br /> crushed and fi+ied. <br /> 13. The undersianecf owner shati and herebv dces indemnifv and hdd hannless the Citv of Orono. its aoe�ts. <br /> emplovees and asstqns from and aqainst al1 cla�ms, dama4les, losses or expenses, indudin� attomey <br /> rees, aaamst the CiN, iis aqents, emplovees ano assqns anstr►q out ot o► resuttlna irom the demdition <br /> descnbed herein as oerformed bv the oroneM owner, h1s emdovees.aae�ts.subcontractors or ass�ons <br /> PERMtT TYPE AND FEE CALCtlLATION <br /> 1 ':f�. <br /> j,��r�.uu— rnncipa� �uucwre � � -� � - <br /> n n i, <br /> U $50.00)—Accessory 5tructure x�,�(how many) v� �`� <br /> ;� „� <br /> ?. Subtotal of above c�ermit requested $ / � ; "" <br /> 2. State Surcharoe 1.00 <br /> � : T � <br /> '�. TOTAL PERMIT FEE tadd lines 1-2 abovel �, ._. / 0 ► �/U _ _ <br /> The undersioned herbv aoolies to the Citv of O�ono for issuance of a Demolition Permit, aarees to do <br /> all the work in a strict accordance with the ordinances of the Citv and the reauiat�ons of the State of <br /> Minnesota. and cert�es that atl statements made on th�s a�bl�cation are oomolete.true and oorrecz <br /> i i ,� _ <br /> !/ \ (/n ^ <br /> ,� � ,�cv� � - �� <br /> Aoplicant's Signature: �/���� '� � Date: ` � � <br /> Owner's 3ignature: � �`� y " �,� �� � �aie: _�-� � �✓ <br /> C�� , <br /> � <br /> Approve�B�y: _ � uate � <br /> �3uilding Ofticial) , � <br /> - � � r� <br /> 'Zoning Dlsclasure Required? �] YES �NO �a'�u <br /> 'This must be filfed out by Zoni g ent—For either wer, a Zoning icial must sign all applications. <br /> ' Approved By_ Date: ��/� <br /> i Zoninq Official i <br /> Form tasf Uodated: Julv 2015 <br />