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� r . <br /> . '+ . <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 all inspections. Call (612)249-4600. , <br /> JOB SITE ADDRESS• �J S `� ��I \ l�L L� <br /> Occupancy Type: �Residential Comme cial <br /> OWNER'S NAME• � E� �{�P� �'` Phone: b � a-�a-'t / ��'��a- <br /> Mailing Address: • 3 5'3�-� .� J�/ ���. Cl1-- City: l'7 fZ o �0 '�3�1� <br /> CONTRACTOR'S NAME: Bus.No.: <br /> �- Mailing Address: City: <br /> Demolition if planned by means of: manual disassembly <br /> ` _ C�heavyequipment � FI�G (1--�• <br /> Pernuts 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 adjoining property andlor the public rights-of-way unless <br /> specific prior approval is obtained in writing for temporary use thereof. <br /> 3. Fonndations 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 />