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� <br /> = ,� . <br /> 5. Keep all demolition debris off adjoining property and/or thc public rights-of way unless specific <br /> prior approval is obtained in writing for temporary use thereof. <br /> 6. Completely remove foundation(s) from the ground. <br /> 7. Completely dispose of all demolition debris off site in accordance with all applicable PCf1 <br /> requirements. <br /> S. Abandon water wells in accordance with State Health Department regulations. <br /> 9. Call for an inspection when all debris has been removed,before backfilling. <br /> 10. Within 5 working days of superstructure removal, a final inspection shall be requested. 'The site <br /> shall be left clean and clear of all debris, with any excavation filled with earth level with the <br /> adjacent ground elevation (except when such excavation is to be used as part of a new building <br /> and such new building is actually under construction). <br /> 11. Abandon septic systerns per Minnesota Rules Chapter 7080. All septic tanks must be pumped, <br /> crushed and filled with native soils. An inspection is required after thc tanks are pumped and <br /> before the tanks are crushed and filled. <br /> 12. The undersigned owner shall and hereby does indemnify and hold harmless the City of Orono, its <br /> agents, employees and assigns from and against all claims, damages, losses or expenses, <br /> including attorney fees, against the City, its agents, employees and assigns arising out of or <br /> resulting from the demolition described herein as performed by the property owner, his <br /> employees, agents, subcontractors or assigns. <br /> PERMIT TYPE AND FEE CALCULATION <br /> �$75.00—Principal Structure $ 75 <br /> ❑ $50.00—Accessory Structure x (how many) �� <br /> l. Subtotal of above permit requested $ 7� <br /> 2. State Surcharge 5.00 <br /> 3. TOTAL PERNIIT FEE (add lines 1-2 above) $ �(1 <br /> The widersigned herby applies to the City of Orono for issuance of a Demolition Permit, agrees to do all <br /> the work in a strict accordance with the ordinance� c�f the City and the regulations of lhe State c�f <br /> Minnesota,and certifies that all statements madc on this application are complete,true and correct. <br /> Applicant's Signature: � �r�i� Dat�� �����Z <br /> ,� � � , _ . <br /> Owner's Signature: % �� . � if � Date: '� �^ / '" <br /> d. I J / <br /> Approved By: +� ����M c+�--- Date: � - 1� ' i � <br /> (B ding Officialj <br /> * Zoning Disclosure Required:' ❑ YI:S �;�0 ��1(,�71�.-� �L-�jj7j <br /> *This must be filled out by Zoning Deparnnent For either ans�ti�er,a Zonmg Official t�:s:sign all applications. <br /> :Pl�r�ecd �i:: __..�N� Y�1�,� I)atc: - �' ����_--- <br /> ,,.._:.._. <,.,;....:,. <br />