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' � 'M� �30.2a01 z�OaPM . N0.592 P.3 ' ,� <br /> ;�`,.l Z 11[/ ` -5/ L � • .. <br /> . . i <br /> /��l C��c lC� "�,D ��?lC'.� �' J , <br /> 1 <br /> 4 CITY QF ORONO APPLICATION FOR DEM4LITYON PERMIT <br /> P.O. Box 66 (2750 Kelley Parlcwa�) <br /> Crystal Bay, MN 55323 <br /> SPECIAL CONllITIONS &HOLD f�4itNII.,E55 AGI2EENIENT <br /> GeneralInstructions ' � � � . . <br /> 1. You may be roquired to obtain other pennits,i.e,well abandonnarnent,etc, <br /> 2. Work must not begin unless the permit card is available on the job site. <br /> 3. A 24 hour notice is required for all inspectior�, Cal! 12) 249-4600, <br /> JOB SITE ADDR�SS: '�� v � �� � �v� �� , <br /> Occupancy Type: T�Residential Co ereial <br /> , � <br /> OWNER'S NAME: �'�''�- ' �k� �••, -,�S� � Phone: (.4��••���� " ����S <br /> Mailing Ad'dress: \��� r��.Z , �� � City: ��< F �. \ � ,�� .��.� <br /> CONTRACTOR'S NAME:���� ���«��e� � ~� Bus,No.: ��`-%:-��_�1 ,7/ (� �� :��' <br /> Mailing Address; �r ti v City:�� � Q,�.��(� tv�� �,� <br /> � <br /> Demolition if plaruied by means of manval disassembly <br /> , heavy equipment <br /> Permits Xssued: <br /> # Well Abandonment ' <br /> In retum f�r issuaace of said Demolition Permit,the undersigned owner hereby agrees as follows: <br /> 1, The struoture(s) shall be kept e�,closed and/or secured uatil sueh time as demolition is <br /> complete. � <br /> 2. Dertiolition debris will be kept off adj oining properiy,andlor the public rights-ot�way unless <br /> specific p�ior approval is obtained in wxiting for temporary L�se thereof. <br /> 3. k'oundations shall be completely removed from the ground. � . , <br /> 4. A11 demolition debris shall be completely disposed of o£f site in accordance with all <br /> applicable PCA xequirements, , <br /> S. Water wells must be abandoned in accordance with State Health Department regulations. <br /> 6, Inspeetion requir�d when all debris has been rercioved,beforc backfilling. <br />