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CITY OF ORONb � 512473�510 02I1u/99 15.�Q [� :0�l�2 NO'6�t „ <br /> 7. �;Iizhi�S wcsr;[ir� days af saperstructurc r�sr�ova2, a ftnai zz�spection sha�l b� requcsted. <br /> '�e site shalI be le�t clear� and c�cAz nf all �ehr�s, �x-ith any excavacian fz�I�d wrth earth <br /> ;�vel wic�t �tze ad�ac�z�t grou�d �levatior� (except when such excavation is to 3e used a� <br /> part of� rzcw �ui�d#_n� and s�h a�w building zs actu�liy under co�.stnxction) <br /> $. �e unt�ar5ig�ltd o�ti�ner s�.al: and I�ereby dvcs iz�detr�.nif� and �ald }�art�Icss the City.of <br /> C�ra�a, ics:;a���a�s, ��xplayeeS a�d assigt�s fro�1 at�d a�aizt�t all c�aims, darn��;es, lasses <br /> or cxp�r�es, izlcluc�i�t� ar[orncy �ees, aga�t �Yte �iry, ics z�ents, �iriplc����y BaL� 35Sk�S15 <br /> axising ouc o� tir r�sulci�.� frnzzi cize d�molition described �ereirj as pcz�arn�d by t�e <br /> properry owrzcr, tzis cm�ioyee�, agcnts, sut'�oncracGor� or as�ign.s. <br /> PERa�1�'T' T��� At�U �� �ALCL'LAi.TION <br /> � �SQ.00 �'�'Firz�ip�.i Strncrarc <br /> � $��t,(?� - g;Ccessory Sts°uca3rp <br /> �� <br /> 1. Subtotal of above �ermit requcsted $�� , <br /> �,. St�te 5�trc�yarge 5,...,...v���.,_ <br /> �. TC}TAL ��RMIT F�E (8�d lines 1•.� above) $ <br /> Tkt�undecs���eci ��re�y �pplies to thc Ciry�►f 4t'ot�o fqr issu�ce of a Deix�.olittc3t�Perz�ii, xgre�s <br /> ta da ai� tiv�rk in �trict acc�rdanc� with t}�a ordi�ances o:f t�e City and tke rc$�lat's ans o� the <br /> 5t�te o�Mix�1�SOC2�, drtd C�C[i�es ih3t aIl statemCll,#S msde ac1 LhIS npglkcaEion�.rG �oxt'��ete, tr�i�e <br /> �nd casrcct, <br /> i ' <br /> � %`�� <br /> ICAIV"T'S STI�NA'I'U�tE� ,'� �� Ddte. " � <br /> �;.P�'i.. �.._. __.�__.__ .._�. <br /> �'�'V�+'ER'S S�GNA'I'�JR�: i _,�'c' , ,:fi�: �� �G� � Aate, �l,�� ..-- <br /> A�'FRC��D �'Y: `_- Dute: �- " � � "��� <br /> �0 'd �i :9[ I�.� 6E-6I-8�� <br />