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T <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERiviIT <br /> P.O. Box 66 (2750 Kelley Parkway) � <br /> Crystal Bay, MN 5�323 <br /> SPECIAL C0�IDITIONS & I30LD HARMLESS AGREEMEN'T <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burnin�, well abandonmment, etc. <br /> 2. Work must not be�in unless the permit card is available on the job site. <br /> 3. A 24 hour notice is required for all inspections. Call 473-7357. <br /> JOB SITE t�DDRESS: I o9 o Lo�+d U•Jq �C"�e <br /> Occupancy Type: �_Residential Commercial <br /> OW�tER'S N��IE: Will�a►� �l, f3acK�hn Phone: �/72— y/Go <br /> Mailin� Address: /o9U L��,, L�a A�r CitY: /�?oun�l <br /> i. <br /> CONTRACTOR'S NAME: W�ll;4,•-, �/ Boc,K»�+n.. Bus. No.: <br /> Mailing Address: �� Ciry: `� <br /> Demolition if planned by means of: �. manual disassembly <br /> x heavy equipment <br /> burnin; (by fire department) <br /> Permits Issued: <br /> # Burning Fire Department <br /> # Well Abandonment <br /> In return 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 time as demolition is <br /> complete. <br /> 2. Demolition debris will be kept off adjoining property and/or the public rights-of-way <br /> unless specific prior approval is obtained in writing for temporary use thereof. <br /> 3. Foundations shall be completely removed from the ground. <br /> ���lo <br /> 4. All demolition debris shall be completely disposed of off site in accordance with all <br /> � applicable PCA requirements. <br /> 5, i�Vater wells must be abandoned in accordance with State Health Department regulations. <br /> 6, Inspection required when all debris has been removed, before bacl�'�lling. <br />