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/ <br /> ' ` � <br /> � <br /> \ /� <br /> ,�C, J <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. burning, well abandonrrunent, 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 473-7357. <br /> � � �7� c�,������� /�,��:_ <br /> JOB SI'TE ADDRESS: "' � �' � �- <br /> Occupancy Type: x Residential Commercial <br /> i ; <br /> � <br /> OW�iER'S NAIVIE: �� '� � �, «.1/` G'���C�-''�"�' Phone: ��� %G �L <br /> Mailing Address: �;:N,�= � Ciry: C%/�a�-� <br /> � � � <br /> CONTRACTOR'S NAME: �,cL. ��'LL�'.s� Bus. No.: 6�7 y %�S� '� <br /> Mailing Address: L�%<<c- s� � City: <br /> Demolition if planned by means of: manual disassembly <br /> � heavy equipment <br /> burning (by fire department) <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 /> complete. <br /> 2. Demolition debris will be kept off adjoining 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 regulations. <br /> 6. Inspection required when all debris has been removed, before bacl�'illing. <br />