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�� �� iZ � � �c� <br /> �. . � , � 1 � <br /> � <br /> . �FcF <br /> CITY OF ORONO APPLICATION FOR DEMOLITION��I�VFo <br /> P.O. Box 66 (2750 Kelley Parkway) C j <br /> Crystal Bay, MN 55323 /��'pFO ���6 <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT R��O <br /> General Instructions <br /> 1. You may be required to obtain other permits, 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: �(`'�(7� ,��/�Z��) �,,+;/►/'Ld� <br /> Occupancy Type: �_Residential Commercial <br /> OWNER'S NAME: i ` �` Phone: <br /> Mailing Address: � N City: p/2pNc� <br /> CONTRACTOR'S NAME:�1� i u,�us.No.: �S%Z-�I?/- O��'/ <br /> MailingAddress: 0 C�ty:�/.�D�S ,S_3"�� � <br /> _ � <br /> Demolition if planned by means of: �' manual disassembly <br /> �_heavy equipment <br /> Permits Issued: <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit,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 kept 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 must be disconnected at the services at the street by qualified contractors. <br /> 7. Inspection required when all debris has been removed, before backfilling. <br />