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1 . <br /> 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 abandonmrnent, 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: ,�3 ` �' YL. � <br /> Occupancy Type: C. Residential � ommercial <br /> OWNER'SNAME: �-L� � �T� iU e�1'L�i � `.� Phone:�1(,3� Ca`Z�-f-8$OO <br /> Mailing Address: 5�C%p ►�-��Q����,n ;��a��S City: �11��� Pi�;n SS�S� <br /> r�� <br /> CONTRACTOR'S NAME: ej�l l j � �,� so��� Bus.No.: a 3g— t-1 ( 33 <br /> MailingAddress: �I�-(f� ( ��r„ :�, �1 � � CitY� �o I� �S <br /> '�S3�{ —'j <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 backfilling. <br />