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� �� � �� � � <br /> � ; � .=�d , �� <br /> �,���- <br /> ' CITY OF ORO\'O APPLICATIO\ FOR DE1�10LITION PER�IIT <br /> P.O. Bo� 66 (27�0 Kelley Parkway) <br /> Crystal Bay, MN 55323 <br /> SPECIAL COti�ITIONS & HOLD H.�R1l�ILESS AGREEMENT <br /> General Instructions <br /> 1, You may be required to ot;tain other permits, i.e. well abandonmment, etc. <br /> 2, `Vork must not begi�.i unles�' the permit card is available on the job site. <br /> 3. A 24 hour notice is required I�r all inspections. Call (612) 249-4600. <br /> JOB SiTE ADDRESS: �, .e.. o � *- `'��'��-�- � <br /> Occupancy Type: Re:,idential �C_Commercial <br /> U`VIr'EK'S NA:�• ►.�� =� a....�,� 5 „r�-�. Iv'�.���+-u�n.-, _Phone: �'�z •�l73 - S9 8�/ _ <br /> Mailing Addres�: .��_� �-�.��.� -.-..,�_•� ,� Ci�''�'=��Z o`' <br /> i <br /> CO\TRACTOR'SNAME:��•L �- - - -f -�-r-�^ e-r'g Bus.No.: v�i. Y'7G• s�i y y <br /> Mailing Address:��,�z�i �? �.. e �k-..� 7Z(� City:��,:�,ti«c,..� <br /> Demolition if planned by means of: manual disassembly <br /> _�heavy equipment <br /> Permits Issued: <br /> � `�'ell Abandonment .{���'f}-- <br /> In retum for issuance of said Demolition Permit,the undersi�ned o��ner hereby agrees as follo�vs: <br /> 1, The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> complete. <br /> 2 Demolition debris�vill be kept off adjoining property and/or the public rights-of-way unless <br /> specific prior approval is obtained in wTiting 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�vells must be abandoned in accordance ��zth State Health Department regulations. <br /> 6. Inspection required�vhen all debris has been removed, before bacl:filling. <br />