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AUG-15-2006 TUE 11 : 23 RM RAM BUILDERS FAX No. 320 485 9625 P� 003 <br /> , � �. � , ��' �, n . <br /> � ��� <br /> CZTY OF O�tONO A,PPLZCATION FOR DEMOLx'�'ION PERMTT <br /> �.0. Box 66 (2750 K�lley�arlcway) � <br /> Crystal�3ay,MN 55323 <br /> SP�CIAL CONDITXONS &�i0��1 HARNTLESS AGRE�IV�NT � <br /> Gez�eral Instru c�ions <br /> l. You n�,ay be required to obtaiia other pei7nits, i.e, well abandoz�ment, etc. . <br /> 2. Wnrk must not begin uz�less the pezrrazt card is ava�lable on�lze job site. <br /> 3. A 24 bouz x�otice is rec�uired£or a11 inspectzon.s. Call(952)249-�500. <br /> JOB s1��nb�ss: (d i� ��:���, � <br /> Occupancy T�pe; Residential COri1111�TG1a1 <br /> OVVNER'S NAME� � C�A� ��►'' P1�one:��2-30�" G� ?�0 .� <br /> MailingAddress:. 10l I -- ��tY� ' 3�� <br /> � �, �� G� ,�j5 <br /> CON'�RAC'�OR's N�ME: � Gc rn-lr Bus.No.:�� 1.— <br /> IV.tailiugAddress: � � C1�Y� ��-� !�''� ��'`' <br /> Demolition if planned by�zaean�of` � � manual disassen�bly <br /> �b�eavy ec�uipment <br /> Per�its Zssued: � � .� <br /> � Well Abandox�l�,l�n� � <br /> In retiuYl for issti�ance of said Demolition�ennit, the undexsig�ed ovcnler hereby agre�s as�ollows: <br /> 1. The structure(s) s�xall b� lc�pt e�closed aud/or secured until suck� tizne as demolition is <br /> com�lete. � <br /> 2. Deinolitio�l debxis will be kept o££adj oiaaing propez�ty andlor the pub�ic z�glits-of way uuless �, <br /> s�ecific prior approva�as obtained izx wxztiu�g for tem�oxazy use thereof. <br /> � � <br /> 3. Foundations sliall be coznpletely renaoved from th� gzound. <br /> � 4. All deinolition debris s1�a11 be complete�y dis�osed o� of� site in accorda��c� witb. a�� <br /> applicable�CA xequirements. <br /> 5. Water wells zn.ust,be abandon�d 'zx�ac�ordanc� wit�a State Healtll Depa�tnient regul.4txo�s. <br /> 6. S�wer aiid watex�.�.ust be discorvaected at the services �t t�e street by qualified coX�tractors. <br /> 7. J�n.spectioil requized w1�en all deb�zs�as be�n ret�loved,�efore backfilling_ <br />