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/ <br /> � �it.`J <br /> APPLICATIO:: .'OP. ' . <br /> � P'10 TIOf� PERPIIT <br /> SPECIAL CONDITIONS ANb HOLD IiAF'..MLES,S AGRLEMENT <br /> The undersigned owner of ��roperty legally described as <br /> �� c� �C�' !,/!'.y >�tl.F j`�I .j�'1 � i�'l�: ^ I /-�����.. i%tC6 ��'r�,:;�iH � <br /> v <br /> hereby applies for and requests a permit, pursuant to Section 301a of the <br /> State of Minnesota Uniform Building Code, for the DEMOLITION and COMPLETE <br /> REMOVAL of the following described structure (s) located thereon: <br /> � <br /> � f�o�{5 E - f':�r � ' ?�c���.s <br /> Demolition is planned by means of :. _ malival disassembly heavy equipment <br /> � burning, by the appro�riate fire department <br /> In return for issuance of sain Demolitior. Permit, the undersigned owner <br /> hereby agrees as follows : <br /> 1. The structure (s) shall be kept enclosed and secured until such time <br /> as demolition is complete . <br /> 2 . Demolition debris will be kept oif adjoining property and/or the <br /> public rights of way unless specific prior approval is obtained <br /> in writing for temporary use thereof. <br /> 3 . All demolition debris will be completely disposed of off site in <br /> an approved landfill and in accordance with all applicable PCA <br /> requirements . <br /> 4 . Upon completion, and within 5 working days of superstructure removal , <br /> the site shall be left clean and clear of all debris , with any <br /> foundation or other excavation filled �aith earth, level with the <br /> adjacent ground elevation, except when such excavation is to be used <br /> as part of a new building and such new building is actually under <br /> construction. <br /> 5. The undersigned owner shall and hereby does indemnify and hold <br /> harmless the City of Orono, the City Council , and the agents and <br /> employees of the City from and against all claims, damages, losses <br /> or expenses, including attorney fees , which the City, City Council <br /> and agents and employees of the City may suffer or for which it may <br /> be held liable arising out of or resulting from the assertion against <br /> them of any claims , debts or obligations in consequence of the <br /> demolition described herein as performed by the property owner, his <br /> employees , agents or subcontractors, whether or not caused in part <br /> by a party indemnified hereunder. <br /> 6. The undersigned property owner declares that all facts and <br /> representations stated herein are true and correct, and agrees to <br /> �do a11 w�rk in strict accordance with the ordinances of the City. <br /> /, <br /> , 3 � d� <br /> �v�l .` ��--z�-2_r,_ <br /> Signed Date <br /> n, '1 ,z! ` -� <br /> i �,�,� r ��>,� �4 ;� r'-�,�, �-3 3�� `�?� ���G"� <br /> Mailing Addres-S " � Phone <br />