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� <br /> �� Sc� S <br /> � <br /> � CITY OF ORONO APPLICATION FOR DEI�IOLITION PERII�IIT <br /> P.O. Box 66 (2750 Kelley Parkway) � <br /> Crystal Bay, MN 5�323 <br /> SPECL4L, CONDITIONS & HOLD HARiti1ZESS AGREEI�iE�"T <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burnin�, well abandonnunent, etc. <br /> 2. Work must not be�in 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 /> JOB SITE ADDRESS: , � .- .% ::-y' > ; �,= <br /> Occupancy Type: x, Residential Commercial <br /> Oti�TER'S N�tiIE: � ��, ��. ;� � , , ,.,, - Phone: ��-'? '�� _ � t ;� <br /> Mailin� Address: �, _ ,�x` 4� Ciry: �.ti����" t�--, 4- <br /> CONTRACTOR'S NA11�: ; ,�,,r�-�,�:��� Bus. No.: <br /> Nlailing Address: 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 Abandonmen[ <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as <br /> 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 adjouun� 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 backfilling. <br />