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� �il.� cL.0 l�,�p� f JJ <br /> , i '��"I /(/� J � � <br /> J �. �0. <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (2750 Kelley Pazkway) <br /> Crystal Bay,N1N 55323 <br /> " SPECIAL CONDITIONS &FIOLD 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 cazd is available on the job site. <br /> 3. A 24 hour notice is required for all inspections. Ca11(612)249-4600. <br /> JOB SITE ADD SS•3 So � � V y l�L�c� <br /> Occupancy Type�• Residential Commercial <br /> OWNER'S NAME:�,fL c o � Phone:q�u a„ ��l� 4`z 7 ( <br /> Mailing Address:� �aq_ s v � �L�c�a City• �.r�„ ,���,}.a <br /> CONTRACTOR'S NAME:G�. .,,.�.�� u�z�, ���►s�' Bus.No.:���- C►�o -��H� <br /> Mailing Addresst�Q a � S L s s-►, h>. �r���x r�^�y City: <br /> Demolition if planned by means of: manual disassembly <br /> � heavy equipment <br /> Pemuts Issued: <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit,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 offadjoining 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 />