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'� � ' ; / // <br /> / C <br /> ( <br /> � �//� �.�-J C/ / <br /> � i V <br /> f-� / i ,�y/(�/ <br /> ��G Y l�'=) `;; <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 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 /> r--� + <br /> JOB SITE ADDRESS: � � 2-� � �C�,�n�r s5 �t � ' _ <br /> Occupancy Type: �Residential Commercial <br /> OWNER'S NAME: ��'�t'� � D��rv�so ti Phone: �'(Z_ 7�1-S/�f �{ <br /> Mailing Address: City: <br /> / �`1 <br /> CONTRACTOR'S NAME: tf P ���j',�6 �`>r� �' Bus.No.: � l2� S-:o -Z-5�"7� � <br /> Mailing Address: P a � ���f i s . City: (,�.9� Zq.� � <br /> ��� �--_- _ � G> . <br /> Demolition if planned by means of: manual disassembly � �� <br /> �heavy equipment !� �'�' <br /> � <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�vells must be abandoned in accordance with State Health Department regulations. <br /> 6. Inspection required when all debris has been removed, before backf'illing. <br />