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.., <br /> . <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERM�T <br /> P.O. Box 66 (2750 Kelley Parlcway) <br /> Crystal Bay, Miv 55323 <br /> SPECIAL CONDITIONS & HOLD HARivILESS AGREEMENT <br /> General Instructions <br /> 1. You may be required to obtain other peinlits, i.e. we11 abandonment, etc. <br /> 2. Work must uot begin unless the perniit card is available on the job site. <br /> 3. A 24 l�our notice is required for all inspections. Call (952) 249-4600. <br /> JOB SITE ADDRESS: �2 s� �X' �T. <br /> Occupancy Type: Residential Commercial <br /> O�divER'S NAME: MDU�'iY1 �� C(� +�G��►L( I��k���1S �.U��lione: a5a-'-�-'II-rI��' S5�5�p <br /> Mailing Address: Po Q�D��� Clt�': �C'' l� <br /> ��1�1�'1�C'�'OR'S NAll�IE: Bus.No.: <br /> Mailing Address: Ciry: <br /> Demolition if planned by tneaus of: ✓mauual disassembly <br /> ✓ heavy equipment <br /> Pern�its Issued: <br /> # Well Abandonment <br /> In return for issuance of said Demolition Peirnit, the undersigned owner hereby a�rees as follows: <br /> l. The struchire(s) shall be kept enclosed and/or secured ttntil such time as demolition is <br /> complete. <br /> 2. Demolition debris�vill be lcept off adjoinin�property and/or the public rights-of-way unles� <br /> specific prior approval is obtained in writing for temporary use thereof. <br /> 3. F�undations sl�all be cmm�letely removed from the ground. <br /> 4. All demolition debris shall be completely disposed of off site in accordance �vit11 all <br /> applicable PCA requirements. <br /> 5. Water wells must be abandoned in accordance with State Health Department re�ulations. <br /> 6. Se�ver and�vater must be disconnected at the seivices at the street by qualified contractors. <br /> 7, Inspection required �,��hen all debris has been removed, before backfillina. <br />