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� � . <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 HARMLESS AGREEMENT <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. well abandonmment, 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 a11 inspections. Call(612) 249-4600. <br /> JOB SITEADDRESS: �/�/O /�/r 4f�W��'� n� <br /> Occupancy Type: �_Residential Commercial <br /> OWNER'SNAME:y��"'t G.US/f-�.-� Phone: (.�/2;3G y'-3���/ <br /> Mailing Address:�l,�/��� fJi lv/��✓c�D ��.� City: (`Y�D�le <br /> CONTRACTOR'S NAME: 1.✓£S 13�N�t7�Z 5 0�/ Bus.No.: 7 4 3`��7p `/!0 7 <br /> Mailing Address: 76�-,���/' /Z _ City: rn g P��. ��/�iic/ <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 Permit,the undersigned owner hereby agrees as follows: <br /> l. The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> complete. � <br /> 2. Demolition debris will be kept off adj oining 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 regulations. <br /> 6. Inspection required when all debris has been removed, before backfilling. <br />