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�a98o 7 <br /> � �2�-0� <br /> l `�,�� . <br /> ��� `o� <br /> ,I� <br /> � <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 55323 <br /> SPECIAL CONDITIONS & HOLD HAR�VILESS AGREEMENT <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. well abandonment, etc. <br /> 2. Work must not begin unless the pernlit card is available on the job sitc. <br /> 3. A 24 hour notice is required for all inspections. Call (952) 249-4600. <br /> JOB SITE ADDRESS:��� �� �.�1a�..�._�� � <br /> Occupancy Type: Residential Commercial <br /> (\ / <br /> OWNER'S NAME: ' � `� ��sE,�ne: � �— `� � - �1 �� �I <br /> Mailing Address: � / " City: <br /> �L�I�I'�'�RACTOR'S NAME:�.-M� _� Bus.No.: � /� 3 '� C -�i�% �� � <br /> Mailing Address: City: <br /> Demolition if planned by means of: manual disassembly <br /> �heavy equipment <br /> Permits Issued: <br /> # ��Well Abandonment <br /> In return for issuance of said Demolition Pennit, the undersianed owner hereby agrees as follows: <br /> 1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> complete. <br /> 2. Demolition debris will be lcept off adjoining property and/or the public rights-of-way unless <br /> specific prior approval is obtained in 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 accordance with all <br /> applicable PCA requirements. <br /> 5. Water wells must be abandoned in accordance with State Health Department regulation�. <br /> 6. Sewer and water n�tist be� discolulected at the services at the street by qualified contractc�rs. <br /> 7. Inspection required when all debris has been removed, before backfilling. <br />