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4. Submit a$2,500 escrow and an escrow agreement signed by the property owner(copy attached). <br /> 5. Keep all structure(s)enclosed and/or secured untii such time as demolition is complete. <br /> 6. Keep ail demolition debris off adjoining property andior the public rights-of way unless specific prior <br /> approval is obtained in writing for temporary use thereof. <br /> 7. Completely remove foundation(s}from the ground. <br /> 8. Completely dispose of ali demviition debris off site in accordance with ali applicable PCA requirements. <br /> 9. Abando�water wells in accordance with State Heatth Depanment regulations. <br /> 10.'Cail for an inspection when ali debris has been removed, before backfifling. <br /> 11. Within 5 working days of superstructure removal, a final inspection shall be requested. The site shall be <br /> left clean and clear of all debris, with any excavabon filled with earth level with the adjacent ground <br /> elevatio� (except when such excavation is to be used as part of a new building and such new building is <br /> actually under construction). <br /> 12. Abandon septic systems per Minnesota Rules Chapter 7080. All septic tanks must be pumped, crushed <br /> and filled with native soils. An inspection is required after the tanks are pumped and before the tanks are <br /> crushed and filled. <br /> 13. The undersigned owner shall and hereby does indemnify and hold harmless the City of Orono, its agents, <br /> employees and assigns from and against all claims, damages, losses or expenses, induding attomey <br /> fees, against the City, its agents, employees and assigns arising out of or resutting from the demolition <br /> described herein as performed by the property owner, his employees,agents,subcontractors or assigns. <br /> PERMIT TYPE AND FEE CALCULATION <br /> ❑ $75.00—Principal Structure $ <br /> � $50,00—Accessory Stn,cture x � (how many) <br /> �C` �� <br /> � i r� q rr�c.�-,cti �o� 1 � <br /> 1. Subtotal of above permit requested $ <br /> 2. State Surcharge 1.00 <br /> 3. TOTAL PERMIT FEE (add lines 1-2 above) $ <br /> The undersigned herby applies to the City of Orono for issuance of a Demolition Permit, agrees to do <br /> all the work in a strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and co�rect. <br /> � �� ��-/ �, <br /> Applicant's Signature: Date: <br /> Owne�'s Signature: Date: � �'"� <br /> � � � <br /> ! Approved By: Date: � � <br /> (B ilding O icial) <br /> *Zoning Disclosure Requfred? ❑ YES NO <br /> 'This must be filled out by Zoning Department—For ei r wer,a Zoning Official must sign all applications. <br /> *Approved By: Date: <br /> (Zoning Official) <br /> Form Last Updated: July 2015 <br /> 150784 <br />