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� <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 55323 <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. well abandoiuninent, etc. <br /> 2. Work must not begin unless the pennit card is available on the job site. <br /> 3. A 24 hour notice is required for all inspections. Call (612) 249-4600. <br /> JOB SITE ADDRE S: �`� ZZ. L�./Y\ �i �I� e <br /> Occupancy Type: � Residential Cominercial <br /> OWNER'S NAME: C� d � C 4�(1� Phone: S L- Z�� '`�6 Z� <br /> MailingAddress: P 0�� City: Cr � ��vl S S � <br /> CONTRACTOR' NAM • � Bus.NO.: — �T� ��� <br /> Mailing Address: City: �� <br /> �/L°c.'h/�C�C�$' T�E' �hv iC� . <br /> Deinolition if planned by nieans of: manual disassembly <br /> �heavy equipment <br /> Permits Iss ed: <br /> #�Well Abaiidonment <br /> In return for issuailce of said Deinolitioil Permit,the undersigned owner hereby agrees as follows: <br /> 1. The structure(s) shall be kept enclosed and/or secured until such tiine as deinolition is <br /> complete. <br /> 2. Demolition debris will be kept off adjoining property and/or the public rights-of-way unless <br /> specific prior approval is obtained in 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 accordance with all <br /> applicable PCA requirements. <br /> 5. Water wells must be abandoned in accordance with State Health Department regulations. <br /> 6. Inspection required when all debris has been removed,before backf'illing, <br />