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. . .������� <br /> C�rC���m <br /> . � !�-�y <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (2750 Kelley Parlcway) <br /> Crystal Bay, MN 55323 <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> General Instructions <br /> 1. You may be required to obtain other peimits, i.e. well abandonment, 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 (952) 249-4600. <br /> JOB SITE ADDRESS: ld � ��1vb �'' ��"L l'C �'e <br /> Occupancy Type: � Residential Commercial <br /> OWNER'S NAME: �l c�i 4�b �-�/ �� Phone: f"��oZ � 7� ' �7�3 <br /> Mailing Addres�'���D �e �•�•�-cds�- /1 d City: �J,C O�a <br /> v�:�'�'RACTOR'S NAM�.: {� > �I Bus.No.: <br /> Mailing Address: City: <br /> Demolition if planned by meaus of: manual disassembly <br /> heavy equipment <br /> Permits Issued: <br /> # Well Abandonment <br /> In retuni for issuance of said Demolition Pennit, 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 lcept 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 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. Sewer and water nnist be discomiected at the services at the street by c�ualitied contractors. <br /> 7. Inspection required wllen all debris has been removed, before backfilling. <br />