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' � ::� ��; w� � <br /> . � <br /> t • APPLICATION FOR DEil�10LITION PER�tiiIT <br /> CITY OF ORONO . <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 5�323 <br /> SPECL�.L CONDIZ'I4NS & HOLD HARiti�LESS AGREEME�'�T' <br /> General Instructions <br /> 1. You may be required to obtain other permits, i,e. burnin�, well abandonmBlent, etc. <br /> 2. �ork must not be;in unless the permit card is available on the job site. <br /> ;. A 24 hour notice is required for all inspections. Call 473-7357. <br /> JOB STTE ADDRESS: �� <br /> > UC.-1� G ;5�9�L � � I� . <br /> Occupancy Type: �_Residential Commerctal <br /> O'4�rER'S N,4�tiIE: 1�1�.� ����se <br /> � Phone: '� �y 3�dv <br /> Maili�a r'lddress: �SZ�'o �D''1'�'���'''��'�'� �e' Ciry: �PPL�u�d <br /> v L 6`���frN� _ Bus. No.: �?���s=�� <br /> COt�T�2ACTOR'S NA�.1�: �— T City: /�i�YN� N'1� <br /> Mailing Address: i�o o -�r! a�-� D2- <br /> Demolition if planned by means of: manual disassembly <br /> �_ heavy equipment <br /> burnin; (by fire department) <br /> Permits Issued: <br /> # BurninJ Fire Department <br /> # Well Abandonment xfo C�<< a�1 S�Sc,�,-� . <br /> In retum for issuance of said Demolition Permit, the undersigned owner hereby agrees as <br /> follows: <br /> 1. The structure(s) shall be kept enclosed and/or secured until such tune as demolition is <br /> complete. <br /> 2. Demolition debris will be kept off adjoinin� property andlor the public rights-of-way <br /> unless specific prior approval is obtained in writin� 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 /> appiicable PCA requirements. <br /> 5, Water wells must be abandoned in accordance wich State Health Department regulations. <br /> 6, Inspection required when all debris has been removed, before bac�'�ilin�. <br />