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� , ,� <br /> � � /--� � ��7 � <1 <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 abandonment, 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 (952) 249-4600. <br /> JOBSITEADDRESS: CG 1�D�'r .a/C-c ��41-aC� <br /> Occupancy Type: �Residential Commercial <br /> OWNER'S NAME: c�,E ���r�NSo� Phone: <br /> Mailing Address: ��G U /��.^�r f � � �,y��,City: d,��, v <br /> CONTRACTOR'S NAME:1� T L, �'o�.,F`���v�r,w.-�Bus.No.: �fZ —�D� ' `j,��I� <br /> Mailing Address: ��Gti c.i.�s•,f c� �.4�-� City: i:vc.v �'lAi�i'� �rj�,• <br /> Demolition if planned by means of: manual disassembly <br /> �_heavy equipment <br /> Permits Issued: <br /> #/U'c� Well Abandonment � �fE. <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. <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. Sewer and water must be disconnected at the services at the street by qualified contractors. <br /> 7. Inspection required when all debris has been removed, before backfilling. <br />