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� .tZ `�'� ISStrtT <br /> �y� <br /> ' / ir-��i-52- <br /> CITY OF ORONO APPLICATION FOR DBMOLITION PERMIT <br /> PsO. Box 66 (1335 So Brown Rd) <br /> Crystal Bay, MN 55323 <br /> � SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> ******�*****t*�****�**�****t**f*:**�**t*�*�*********���**#***#�*::******�* <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burning, well <br /> = abandonmment, etc. _ __ , __ _, . _ - , _ _. . . -_. _ <br /> 2. Work must not begin un 1 ess the permit card i s avai 1 ab 1 e on the j ob <br /> site. <br /> 3. A 24 hour notice is required for all inspections. Call 473-7357. <br /> �***�****************:**�******t**�tt**:***�f****t*�***#**tttt*::*t�**t***** <br /> Jos sz� Annx�ss: Z68`f L�IAiZv f�Uz�• �,�C�`zslo✓� , MN ss 33/ �r�Na� <br /> Occupancy Type: Residential Comme cial <br /> OWNER'S NAME: ,v � L Phone: Sl7l- }D� <br /> Mailing Address: ,.�1 �y�': City: �'��`uiox. Ss�gj <br /> CONTRACTOR'S NAME: C�.S�� TQ(I?t7,��l1/S Bus. No. : g��� gQ�� <br /> Mailing Address: City: <br /> ********�*�r**t****:***�****:****t*******:********:*:***********�:********** <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 ur�c:ersigned ocaner <br /> hereby agrees as follows: <br /> l. The structure(s) shall be kept enclosed and/or �ecured until such time <br /> as demolition is complete. <br /> 2. Demolition debris wiil 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 all app licable 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 />