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, ��� .� ;���� <br /> . � l%-`�� <br /> � <br /> , _�.;�;`'i � � �9��. -���-��v <br /> � ���� <br /> � �� <br /> C ENIOLI'i'ION PE�% R� �i"'����7(� <br /> CITY OF ORONO APPLICATION FOR D - <br /> P.O. Box 66 (2750 Kelley Parlcway) <br /> Crystal Bay, Mi�i 55323 <br /> SPECIAL CO�iDITIONS & HOLD HARYILESS AGREEiVIEN'T <br /> General Instructions <br /> l. You may be re�luired to obtain other permits, i.e. well abandonment, etc. <br /> 2. Work must not begin unless the pennit card is available on the job site. <br /> 3. A 24 hour notice is required for all inspections. Call (952) 249-4600. <br /> � ,r <br /> JOB SITE ADDRE S: � � � h � �� <br /> Occupancy Type: Residential Commercial <br /> OWNER'SNAIVIE: P110IlE:�sj�''�S` -1.���� <br /> Mailing Address� � City: <br /> ��;�1?'�C'�OR'S.IVA1vi�• d s. 0.:7 ^.3 - �-'�3� ' e"L <br /> Mailin�Address: L I � <br /> �s�`f� <br /> Deinolition if planned by means of: manual disassembly <br /> �heavy equipment <br /> Perniits Issued: <br /> # � � ----� <br /> In return for iss ,�- �ed owner hereby agr�es as follows: <br /> /'�%:�t L ; ,� � �-; �-, <br /> 1. The stn �/ °d tmtil such time as demolition is <br /> comple ' -� , <br /> r:� � 1 � � � �� ��. � <br /> 2. Demoli nd/or the public rights-of-way unless <br /> specific � ��<< S ��� S�J orary use thereof. <br /> 3. Fotuzd� �,� � �, ✓l � S � �ound. <br /> / <br /> 4. All de � 5 � r� C� '{� :1 of off site in accordance with all <br /> applic S � c`�,�2 <br /> �� t � �� �`f r <br /> 5. �Vater <-.-_--��`�`��� ' - -- �tate Health Department reaulations. <br /> 6. Se�ver 1nd�vater must be discoiulected ai the servic�s at the stree�by qualified contractors. <br /> 7, Inspection required when all d�bris has been removeci, before backfillin�. <br />