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/' `•� `// <br /> � . . <br /> CITY OF ORONO APPLICATION FOR Dffi�OLITION PERHIT <br /> P.O. Box 66 (1335 So Brown Rd) <br /> Crystal Bay, MN 55323 <br /> � SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> t**�********t**************:t*********#�**#**t�*#*t*�***t#**#�****t******* <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burning, well <br /> _ - . = abandonmment, etc. <br /> , _ _ _ , _ <br /> 2. Work must not begin unless the permit card is available on the job <br /> site. <br /> 3. A 24 hour notice is required for all inspec�ions. Call 473-7357. <br /> ***:**#*t******:*��*t:******:****#**:*:***t:**: *****:**:*****t:**�*t***tt* <br /> JOB SIR'$ ADDRESS: - `i�� /. N,; G x ��, %� �,� �,::: �w�� !�/��.�. <br /> Occupancy Type: � Residential C mmercia <br /> i <br /> OWN$R'S NAME: �f�r� d�G..� � �_ <br /> ����a ���cf�i� c�' Phone: �t�f" z 7�S f/� 1���� <br /> Mailing Address: % „ �; '�-�r� - City: ,z2,�„ - — <br /> �yF(_ <_.�J. .oc.- l��i��`�=°J'�,�-k�.�6�1��. <br /> CONTRACTOR'S NAME: G,���, ����t�,t�v� Bus. No. : <br /> Mailing Address: City: <br /> **********�********:**:***t:#*****�*********#*********t:tt:***��*********** <br /> Demolition if planned by means of: ' manual disassembly heavy equipment <br /> _burning (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 <br /> hereby agrees as follows: <br /> 1. The structure(s) shall be kept enclosed and/-�r secured until such time <br /> as demolition is complete. � <br /> 2. Demolition debris will be kept off adjoining property and/or the <br /> public rights-of-way unless specific prior approval is obtained in <br /> 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 <br /> accordance with al 1 applicable PCA requirements. <br /> 5 . Water wells must be abandoned in accordance with State Health <br /> Department regulations. <br /> 6. Inspection required when all debris has been removed , before <br /> backfilling. <br /> 7. Within 5 working days of superstructure removal , a final inspection <br /> shall be requested. The site shall be left clean and clear of all <br /> debris, with any excavation filled with earth level with the adjacent <br /> _ ground elevation (except when such excavation is to be used as part of <br /> a new building and such new building is actually under construction). <br />