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� <br /> ► <br /> � <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERNIIT <br /> P.O. Box 66(2750 Kelley Parkway) <br /> Crystal Bay,MN 55323 <br /> ' SPECIAL CONDITIONS & HOLD HARNII�ESS 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 cazd is available on the job site. <br /> 3. A 24 hour notice is required for all inspections. Call(612)249-4600. <br /> JOB SITE ADDRESS: �� �'� � �r ., �L `�v �•p ��-�--� <br /> Occupancy Type: ��Residential Commercial <br /> OVVNER'S NAME: G", .s �l. c a X Phone: <br /> Mailing Address:3�a� �.v .a �P[. City: <br /> CONTRACTOR'SNAME:G� 2u� b �-l-�,�-'�g, c�N3� Bus.No.: 6S1 �33 - -�S �� <br /> Mailing Address:�1,��� �LS ...��. T/� City: 7x1-bti� n�_ 1`� n� <br /> Demolition if planned by means of: manual disassembly <br /> �i heavy equipment <br /> Permits Issued: <br /> # Well Abandonment <br /> In return for issuance of said Demolition Pernut,the undersigned 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 kept 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 sha11 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 />