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� <br /> � ' . / l L�7�15 �`/ <br /> ����� <br /> Cw�c. <br /> �:/7/U�. <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 HARML�ESS 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 pernlit card is available on the job site. <br /> 3. A 241�our notice is required for all inspections. Call (952) 249-4600. <br /> JOB SITE ADDRESS: Z'�W.,� �;- � � v� <br /> Occupancy Type: �� Residential Commercia <br /> OWNER'SNAME: �v�c/G F__ �' cJr t__��,�5 Phone: iP� Z Z�U -- ��� <br /> MailingAddress: (r, � � . City: /nUtJti]'�� <br /> �L��I�'�ACTOR'S NAME: J . � -��=���i Ca�,ry-)r�.�l��us.No.: ��,3 -�Z�� �U�U <br /> MailingAddress://c��q C�viv�vT f�vf �� Ciry:�,,/u��� _ <br /> Demolition if planned by means of: manual disassembly <br /> �_heavy equipment <br /> PernZits Issued: <br /> # �'ell Abandonment <br /> In return for issuance of said Demolition Permit, the undersianed 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 1<ept off adjoining property and/or the public rights-of-way unless <br /> specific prior approval is obtained in writing far 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 tivater must be discoiulected at the services at the street by qualitied contractors. <br /> 7. Inspection required when all debris has been removed, before backfilling. <br />