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, <br /> i-i i v:3`�7 <br /> � � <br /> ��,�� �'�.� �i.'. "� <br /> �� - <br /> � U `� CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay,MN 55323 <br /> SPECIAL CONDITIONS& HOLD HARMLESS AGREEMENT <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. well abandonment, 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(952)249-4600. <br /> JOBSITEADDRESS: 3345 Crystal Bay Road <br /> Occupancy Type: xx Residential Commercial <br /> OWNER'SNAME• Rudy Wicklander Homes Inc _ Phone: 763 a2.2 -91 92 <br /> MailingAddress: 15440 Potawatomi Street NW Cj�,; Andover, MN 553�4 <br /> CONTRACTOR'SNAME• Ruc�y Wicklander Hom�S.rJo,; 76;� -422- 91 92 <br /> MailingAddress: 15440 Potawatomi Street NW City: Andover, MN 55304 <br /> Demolition if planned by means of manual disassembly <br /> �heavy equipment <br /> Permits Issued: <br /> # Well Abandonment <br /> In retum 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 offadjoining property and/orthe 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. Sewer and water must be disconnected at the services at the street by qualified contractors. <br /> 7. Inspection required when all debris has been removed,before backfilling. <br />