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,��`� S� <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERIKIT <br /> P.O. Box 66 (1335 So Brown Rd) <br /> Crystal Bay, MN 55323 <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> **�******��*�**���****:*�*#*�**#�*�**:*****�***�****#*#*t#***��****�*tt#*# <br /> General Instructions <br /> l. You may be required to obtain other permits, i.e. burning, we I 1 <br /> abandonmment, etc. <br /> 2. Work must not begin unless the permit card is available on the job <br /> site. <br /> 3 . All work must be inspected before it is covered. Call 473-7357. <br /> - 24 HODR NOTICE IS REQQIRED - <br /> ��***�********�***************#���**** **�*****�****tt***�*********�***�* <br /> JOB SITE ADDRESS: , ^ � ,�'�� � ��` / �� "�,� �;: 0-�- � <br /> ��U ���- > >( 1C ,�� <br /> Occupancy Type: ��_Residential Commercial <br /> OWNER'S NAME: � �, � Phone: �" ��� ���� <br /> Mailing Address: �� -' , City: �( ��,ti�,� �� <br /> � �J"_ � �'� '�T'1 '��5`3�i"I <br /> ' 3�> � . <br /> CONTRACTOR'S NAME: � ' C' , us. No. : ��' <br /> Mailing Address: y • � City: <br /> *#***#***#�****�*****�* ��* **�*� :*** #*#*#*#�***:********#*****#t*��**�** <br /> Demolition if planned by means of: manual disassembly �heavy equi�ment <br /> �burnin `,'-- �''_=- '_`_ -`--•---t) <br /> 9 -1 -r-- - <br /> Permits Issued: <br /> # Burning Fire Department <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit, the undersigned owner <br /> hereby agrees as follows : <br /> 1. The structu�e(s) shall be ke�t enclosed and secured until such time as <br /> demolition is complete. <br /> 2. Demoli�ion debris will be ke�t off adjoining property and/or the <br /> public rights-of-way unless specific prior a�proval is obtained in <br /> writing for temporary use thereof. <br /> �N oT(3uRN E� <br /> 3. All demolition debris1will be completely disposed of off site in an <br /> approved landfill and in accordance with all applicable PCti <br /> requirements (includin foundation). <br /> 4. Upon completion, and within 5 working days of superstructure removal, <br /> the site shall be left clean and clear of all debris, with any <br /> excavation filled with earth, level with the adjacent ground <br /> �levation, except when such excavation is to be used as part of a new <br /> building and such new building is actually under construction. <br />