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� <br /> � ' ; <br /> X. <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PER�tiiIT � <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, �IN 5�323 - <br /> SPECL4L CO�tDITIONS & HOLD HARi�ILESS AGREE_l�\TT , <br /> I <br /> i <br /> � <br /> General Instructions � <br /> 1. You may be required to obtain other permits, i.e. burning, well abandonmment, etc. <br /> 2. `Vork must not be�in unless the permit card is available on the job site. <br /> 3. A 24 hour notice is required for all inspections. Call 473-7357. <br /> JOB SITE ADDRESS: 'J� r �l l v ��-� �l. � v r V1� � <br /> Occu anc T e: Residential ommercial `7� 3�� <br /> P Y YP �,� <br /> Oti��ER'S NQu�1E:��D r�.�� a � C_ I,t�r,��� ���� 1� �c�-�e�: Phone: <br /> Mailin� Address: ��S t� k -� ���, 1��� _ City: � � � � t�„ �� r- V1�� . <br /> �5 �-� 33I <br /> � Bus. No.: �,��� �l -���p t�� <br /> COr"ITR.ACTOR S NANIE: �, E°�-�5� .; �Y� -���� ; � ,._ <br /> Nlailing Address: City: -�; ;,;�, ,� ��_ <br /> vti-� �_ i <br /> Demolition if planned by means of: manual disassembly � <br /> heavy equipment ' <br /> � <br /> �burnin� (by fire department) � <br /> � <br /> Permits Issued: �i <br /> # Burnina Fire Department ( <br /> # Well Abandonment � <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as <br /> follows: <br /> � <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 � <br /> unless 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 wi� ali � <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 backf'�lling. <br />