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, Oct-11-�012 Ob:54 AM HCMC 612-904-4567 3/q <br /> I <br /> � i <br /> 5, Keep eU demolition debri9 off a�joining property aad/or ti�e public rights-of way nalass specific ; <br /> prior approval is abtained in wciting foz�tompozary use thereaf. <br /> 6. Completely remvve fouudatiou(�)$om tho�round. <br /> 7, Completely disposs of all damolitlon debris off site in accordance with all applicabla PCA <br /> raqwirementa. <br /> 8. Abandon water walla ia e000rdenoe with 3tate Hoalth Depertmant regul etiona. ' <br /> 9. Call far aa inspeadaa whan all debr�e hae beez�removed�baFore backf�lling, <br /> 10.Withia 5 worldng days of auperstcuoture removal�a ffnal inepection ehall be requested. The�ite ' <br /> ahaU be lett clean �nd alear o�all debria, w�itla any e�oavatioa filled witb a�ath levol with tb►v <br /> a�jacent�round elevation(exoept when suah exeavation ie to bo used as part of a new building <br /> sad suah new building is sotually under oonstruction). <br /> 11.Abat�dott eeptio eyatoms per Minnesota Rules Chapter 7080, A�1 septio tauke must be purrr�ped, <br /> crushed aad filled with aative soile. A.n inepection ie required a;fter the taake ara pumped aad <br /> bePora the ta�cs are crushed and fiItad. <br /> l2.The undersigaed owner siiall and hereby does indamnify snd hold hatmles�the City oQ Orono,its <br /> sgents, employecs and assigns from and against all aIalms� demagea, losses or expense�, � <br /> including attorney feea, against the City, its agenta. employeea and asgigns arisin¢ out of or <br /> rosulting £zo�n the demo�ition described hereia es peafo�ed by tha property owAer, hie <br /> employeee,agents,subcormactors or assigne. <br /> PE�T TYPE AND FEE CALCULATIpN <br /> $75,00—Ysinoipal Struature s <br /> � $50.00—Accessory Structuro x (how zaa�y) <br /> I. Subtutsl of abovs pernait rec�uested $ <br /> Z, Stnte Scucharge ,_____,_�00 <br /> e <br /> 3, TO'x'AL PERMIT F'E�(add lines l-2 above) $ <br /> The underei�nned b,ecby applias to the City of Orouo fvr iesuancc of a Demolitioa Peimit,agreas to do all <br /> the work in a striot acoordanoe with the atdiaaaoes of e Ciq� and the regulations of the State of <br /> Min�nesots,aad oao�'ies that all etate�ma made on thi pli tiou are complete,txue aad carrect. <br /> App4cant'e Signature: Dste: <br /> O�vaer'6 Signstnre: '�� Dste: j• '� ' '_ � Y <br /> Apprnved BYc Dato: 1 d-1 b — Zd r Z <br /> mld�ng O�clal) <br /> '�Zoning Discloeure RequiiredT �YES ❑ NO <br /> •T'hie must be�lled out by Zoeiing De en Por eithor amwer,e Zoniog O�aid muat alga sll appiicedom. <br /> "Appruved BY� Date: '�lU ��� <br /> (zo�;ng oes�� �._ <br />