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, 06i29i2010 09:22 DMD SERVICES LLC � 9522494616 N0.036 D03 <br /> 2. Dem.olition debris will be kept off adjoin.ing property andlor the public rights�f way unless <br /> specific prior approval is obtained in vvriting fur temparary use thr,rcof. <br /> 3_ �oun�dacioms aha�l be completel�+removed fi�orn tl�e grou.nd. <br /> 4. All.d.emoliteon debris shall be completely disposed oCoff site in aCcordance with all <br /> a�plica�ble�'CA�qu.irem�nts, <br /> 5. Wate�welTs must bc abandoncd in accordancc with Statz�valth Depa�1ment regvlations. <br /> 6_ Tnspection reqvired wh.en QIl debris has been removed,�efore backfillirdg. <br /> 7. Wiifiin 5 working days af superstruot�ure removal, a:Fnal inspection shall be requested. The <br /> site shall be left clean and clear of all d.ebris, with a,�y excavati.on filled wit}i��tth level wit.h <br /> Che�d.iactrtt ground eltvation (cxccpt whtn such oxvavation is to be used as parc of a nenw <br /> building a.nd su.ch new building is actually under c,onstruccion). <br /> 8. Septic systems m.ust be abandaned per ll�innesota R,ules ChapL�r 7080. All sepsie t�vtks <br /> must be pumped, crushed and filled with nstive soils, �►n inspection is required after t�e <br /> tanks arc pumped and be:I'ore the tanks are crushed and f.11ed. <br /> 9. The uadersigned owner shalY and hereby does indemnify and ho[d haamless Che Ciry of <br /> Orono, its agerrts, empl.oyees an�d�ssigns from and.ag�inst all elaims,dama,ges,]osses or <br /> expenses, including atiorney fees, against the City, its$gents,amployees and assigns srising <br /> aut of or resulting from che demolieion desc�i.bed he�ein as performed by thc groperty ownar. <br /> his employee�,ag�ntS, su.bconcracwrs or assigns. <br /> PERMTT TYPE AN'D FEE CAY.CU'LATION <br /> �75_00—Principal Soructure � ' <br /> 550.00--Accessory Shvctur.e / (how many} .¢ ���(wk�at) <br /> l. Subtotal. of abowe pennit requested � ��-S � <br /> 2. State Surcharge $ -S .� <br /> 3. TO'I'AL PERNIIT FEE(add Iines l.-2 above) $ � <br /> O <br /> 'C"he undersigned herby applies to the Cit�y af Orono fot issu�n e ot'a Demolition Pennit,agrees <br /> to do all the�ork in �stricc accordance with the ordi.nances of tbe Cicy�nd tlt.e regulati.ons of <br /> the Stase of Mi.nnesoze,and certifies that all statements made on this applicatian are comp)ete, <br /> ctve and correct. <br /> Ap�lica�t's S➢gnature: / tc: �/� <br /> o�aaer'�sig�uature: Date: �! <br /> Approvcd By: c' �vuc�,— batc: � " � `� ' I l� <br /> (Bufldin�Official� <br /> * Zooing Diselosure Required? 'S''CS �] NO <br /> ''Thls mus�b�e filled Qut by Zunin�D ent—Far eith answ ,a Zvninl�O�cial must sign all app�i�s�ions. <br /> + �PPruwe�d Sy: '` Datc. � / v <br /> (Zoning 01'ficial) <br /> �R�eset �"okd�d��'�II �` <br /> ��' [t�r�c�,�,�� <br /> i �;; <br /> + � <br /> � ,R: <br />