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F�'�if•1 : �Yt=f�1 FHUf•dE hli i. : ��1�+_;�_��;+�_��11 h•J���..:�. 1� 1'����� �_��:�3�Ff•1 F'1 <br /> ' CITY uF ORQN� � 6122494n1� '��;25/�9 1�:�'� �ti1 :�2f 12 ti0:47H <br /> � ���� � <br /> �5° <br /> ��TX ��'ORQN� APPLY�ATIfJN FC�R D�,'M[QLl[�Taai�i PER.�1?I"l <br /> �,4���n 6�F����..��I.,�[:.�I��l��,��.a� ��.���,►.�.��,.�...����►�.�.�.�,�:�� <br /> Gre��l lautru�cti�n� <br /> 1. Yctr rn�,�b�req•.�is�tl to obteia ot�er permita, i.e. well�handanmment, �tc. <br /> Z. �V'ork mc�sz not begi�t w`�l�ss th�p��t card is ava3lahle on�the}s�sitc. <br /> 3. ,A 24 houx nvtic�ia n�iced fi�r a.11 ing�e�tiot�a. Ca11���2���9-�6QU. <br /> , . . <br /> J' B ST�'£A.D'��SS� ' , <br /> �3 .���l� -�21? �. r - � � __�__.�. <br /> � ' L'' �'7�� <br /> ..� __. <br /> �c�cup�ncy Typa: �_�e�id�ntiat �Co���t�al <br /> �DWNE_R'�NA�1?�:I7'k�.�''k ,'r�.�r,.�. ,..s�d,c.�p�..�..�Phon�:. C��?_y X'�9���,.�1�. <br /> 21+�ai3xr�g�ddree,a: �� r,�'-� �o��f City: - --- <br /> _�-4�-5�.�.:. ,_i�cth� .r F�� <br /> CdN'1(7t�iCTOA'S NAME: i/''_ �/�ie�s.�a.; -�� `� �L� �- <br /> rvtailing Address:��L��,�_ i/4d.. r�,c�,_,,,,, ��T�iry:��°,..�� 1�2�n <br /> ,, <br /> ,� � <br /> bernolitio�,if plan�ned t�y nn�ns�f �`r.��nual di.�assern�ly ✓ �.�.Crrn ��u-�';..�. <br /> heavy acluipm�nt �'� - _~ <br /> Fctmits Issucd: <br /> #�gi►elt Abandonrraent <br /> Xa�retvrn for�asuas�ee of said 1?�motition Pemzit,the�ndersig,rse8 u�;����r hereby�a�re�c� as fr�3iaws: <br /> 1. The xf�uahxre(s) shalI be kept �nclo�d and/or se�ure.� u�ti! �uch tizt�e a� �er�olitian is <br /> �aznplete. <br /> 2. �emvli�i4n debris will bc kcpt ni�aajalz�ing pr�p��y ari�.'c►r�►h�pubt'sc rig�tts-d��v�y u�atess <br /> sp�d$c p�tor�pproval(a nbt�ned in writing�r tera�arary use tha�co�' <br /> 3. F�tundatidns�hetl be comp�etely,rernovcd fram tho�xouna. <br /> 4. � .�i: c�amoZitian d�ris s�all ba co�np9e�ely dis$osed �of ofF sit� in ac�ardanc�c �zt(z alS <br /> apptacalile PCJ�►,rcqulre.rrients. <br /> 5. �7'�tar wetI�must b�abandoraed in acccard��a�e wxth �at�te��ealih�77eparCrnertt rc�ulatiat�s. <br /> 6, Ynspectiar�rrquircM!when a11 d�brig has becn rcmoved,bc�`ar�b�ci�lling- <br />