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� <br /> CITY OF ORONO APPLICATION FOR D�SOLITION PER:-IST <br /> P.O. Box 66 (1335 So Brown Rd) <br /> Crystal Bay, MN 55323 <br /> � SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> *�**�t******�*�*****f*******��*********�**:*****�********t*f*f**��t**�t*t*** <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burning, well <br /> . _.__. . ___.._._.__-�__--,-..._.....s. �r.-.---•-_-- -- -: - .._. . -. -_. . <br /> -z �- abandonmment,-_etc. -- - -- <br /> � _..- ---- -- _-- - <br /> 2 .�� Work must not begin unless the permit card is available on the job <br /> site. <br /> 3. A 24 hour notice is required for all inspections. Call 473-7357. <br /> ****f�***�******:****t*#********ft*****t�*******tt*�t*****t*******:*�t*�*t* <br /> Jos sz�s �nxEss: 33 00 �OX ST <br /> Occupancy Type: �_Residential Commercia <br /> owN�x' s x�E: Ol2V/LL� r'l S/�'�R Phone: �/7 3-- 7�7Z- <br /> Mailing Address: 330o Fox s7- City: ORONO <br /> CONTRACTOR'� NAME: C,/4RS0 N �fo/'1ES /''�7`h/� //l/C• Bus. No. : �I7 �- � �f DO <br /> Mailing Address:��p/ Sf/�KF G�N� lj� Sv/7'E Zo6 City: W/�YZ�I-TR� <br /> �************t*t***:*�:�**:*::************:****f**�*****tt**************�*� <br /> Demolition if planned by means of: �-burning (bysfireldep-artment) e�uipment <br /> Permits Issued: <br /> * Burning Fire Department <br /> � Well Abandonment <br /> In return for issuance of said �emolition Permit, the undersigned owner <br /> hereby agrees as follows: <br /> 1. The structure(s) shall be kept enclosed and/or secured until such time <br /> as demolition is complete. <br /> 2. Demolition debris will be kept off adjoining property and/or the <br /> public rights-of-way unless specific prior approval is obtained in <br /> writing 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 <br /> accordance with al 1 applicable PCA requirements. <br /> 5 . Water wells must be abandoned in accordance with State Health <br /> Department regulations. <br /> 6 . Inspection required when all debris has been removed , before <br /> backfilling. <br /> 7. Within 5 working days of superstructure removal , a final inspection <br /> shall be requested. The site shall be Ieft clean and clear of all <br /> debris, with any excavation filled with earth level with the adjacent <br /> ground elevation (except when such excavation is to be used as part of <br /> a new building and sucn new building is actually under construction). <br />