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. ' � 3 ° 5`� .����'�' <br /> ' ��1�3g <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, NIN 55323 <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. well abandonmment, 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: ��� 6�� ��-yr��I ��j �,�� C��r a �a � /`?^,� <br /> Occupancy Type: Residential Commercial /S����,� <br /> r + �. � cJ- �i�h-�� �'/ <br /> OWNER'S NAME: �"�, � v1' �,�� �:� ��✓ l�u�- �,,/ �� °��Phone: �{ _ y��= ����' <br /> Mailing Address: 2�9 u l'o.,,, ���r,l. ity: O r v� p <br /> CONTRACTOR'S NAME: f/`�� ��Mc:�- ���� � Bus. No.: `f � ` j"�C� <br /> Mailing Address: �2�U �r�'� .�.,��✓ << _.(:�. City: �) . ��,.�..�n�+ u,� <br /> Demolition if planned by means of: K 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 /> 1. 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 />