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Oct • 4� 2006 11 � 02AM FM FRATTALONE No � 9604 P � 3 <br /> � . 8. Wi�khin 5 working days o�supezstructuze�eznaval,a fuial ins�ection sha11 be zequested Tlae <br /> � site shall be left clean and clear of all debris,w�ith any excavation�lled with earth�evel with <br /> ttae adjacent ground elevalaon(exeept when such eazcavation is to be used as part of a new <br /> building and such new buildaza,g is actually under construction). <br /> 9. The unde�sigz�ed owner sha11 and hereby does ivadenaaaify and hold hamiless the City o� <br /> Orano, its agents, ezzapla�yees and assigns from and agair�st a�a cla�izzas, damages, losses or <br /> expenses,includin,g attoz�o.ey£ees,against the City,its agents,ernpaoyaes azxd assigns arising <br /> out of or resulting fromthe demoliticm desc�ibed hozein as perfoimed by the pro�eriy owzaaz�, <br /> hxs ezr�p�ayees,agerits,subcontractors or assx�s. <br /> 10. Septic systems naust be abandaned per Minnesota Rules Chaptez 7080. All sepfiic tanks must <br /> be pumped,crushed and filled with nabive soitls. ,A�uUspecCion is required after the ta�cs aare <br /> pumped azxd before the tanks are erushed end filled. <br /> PFRMIT TYPE AND FEE CALCULA.T�ON <br /> � $50.00-Pnncipal Stcucture <br /> �.. $30.00-Accessory Sfiiclwe ( Poa l Nn�,.s�� -c- l/ooc, <br /> � / 0 � <br /> 1. Subtotal of above�ez�cnuit zequested $-�-@� <br /> 2. State Surcharge $ _50 <br /> ! I � . So <br /> 3. TOTAL PERMIT FEE(add li�es a-2 above) � '$8:-5�7 <br /> Tb.e undersigned hereby a�plies to the City of Orono for issuance of a Denaolition Permit,agrees to <br /> do all work in strict accordance witk�#he ozdinanc�s of the City and the regulations of the S�e of <br /> Minnesota,and certifies that a11 statemen�ts x�de o�n this application aze complete,tzue a�nd correct. <br /> APP�.ICA►�1T'S SIGNATTIRE:/�" / Date: 10 ��l�6 <br /> OWNER'S STGNAT[TRE: � � � �' �'` D�te: ���/G�/�� <br /> APPROVED SY: D�: � o ��-o � <br /> uilding Offieial) <br /> *ZON]NG DISCLOSU1tE R�QU�A? • •YES • �O <br /> '" Ttvs Muat Be Fi11ed Out By Zoz�ixag I7epertment ither Answer, A 2ozaiug Officia.l Must Sign All <br /> AppliaaCians �.t---�"``�' <br /> �A�PROVED BY: C. �/Vv�u✓ Date: U �I <br /> ( ' Ot�cial) <br /> ������{i�x�:. ,� �������� <br /> '� ��w��{h{a";ir� ,. "' �'`t"�'k�p`;i <br />