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� <br /> CITY OF ORONO APPLTCATION FOR DEMOLITION PER1ti1IT <br /> P.O. Box 66 (2750 Kelley Parkway) � <br /> Crystal Bay, MN 5�323 <br /> SPECLAL CONDITIONS & HOLD HARI�TI.ESS AGREEMEN'T <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burning, well abandonmaient, e�c. <br /> 2. Work must not be�in unless the permit card is available on the job site. <br /> 3. A 24 hour notice is required for all inspections. Call 473-7357. <br /> Jos srrE �nDxEss: 4� G�s--r���-� ��G�- �- <br /> Occupancy Type: ?C Residential Commercial <br /> O'4�'ER'S NQutiIE:�DAV�1�� L4NAA DUN GA�n1 Phone: q �4 —ps88 <br /> Mailin� Address: �S�l �a R�Ersc`1 �� Ciry: EdeN F'�P.z1zr—c`, <br /> I�n nl. SS 34� <br /> CONIRACTOR'S NAl1�: Y-�t�E �vN�� 1��TNc�t�.s, ='�►c,. Bus. No.: '�?L - S`1�l°l <br /> Mailing Address: 1�,32�- I(�xN N r�-ro rs�.h �LY D. City: ��e��.A.�r� Nl�.l. <br /> S�5 3°� 1 <br /> Demolition if planned by means of: manual disassembly <br /> �_ heavy equipment <br /> burnin� (by fire deparcment) <br /> Permits Issued: <br /> # Burning Fire Department <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as <br /> follows: <br /> l. The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> comple[e. <br /> 2. Demolition debris will be kept off adjoinino property and/or the public rights-of-way <br /> unless 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 rea lations. <br /> 6. Inspection required when all debris has been removed, before backfilling. <br /> ��� <br /> . � <br />