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f. � , , f� �� <br /> � . .. � <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, 1�'[N 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 /> JOB SITE ADDRESS: B8S r�Ri✓.DA� RD. w,EsT <br /> Occupancy Type: ✓ Residential Commercial <br /> OWNER'S NAME: ►�. , woo.o {-+�o v s�' Phone: .��iS— I oos <br /> Mailing Address: 8 8 5 FGe,✓c�c..� .e�o. �✓. City: �p�e.o..r o <br /> CONTRACTOR'S NAME:_ P�2�+!',�.-� �.�. ����. No.: q 3�1 —0 8a 8 <br /> Mailing Address: 3�so ��G✓�4 y L,� City: � i���r�L—ys <br /> 5�3�s <br /> Demolition if planned by means of: __��anual disassembly <br /> heavy equipment <br /> Permits Issued: <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit, the undersigned 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 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. --P���a� —y�,.,,E �w6s. <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 /> w�w r s s�✓'F� -� S�'.�c✓�t.Ea 3 y S Tv�a{r4 — G��� - L!/� <br /> 6. Inspection required when all debris has been removed, before backfilling. <br />