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- � ��17 <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMTI' <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 55323 <br /> SPECIAL C0�IDITIONS & HOLD HARMLESS AGREEMENT <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burning, well abandonmment, etc. <br /> 2. Work must not begin 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 ADDRESS: �-��.� ��C� �)�1 � ��� � Z-`L' . <br /> Occupancy Type: �_Residential Commercial <br /> OWNER'S NAME: r��L���'�=��C f��('Z��/l/ Phone: f��- �7 � U� <br /> I��ailin� Address: � �- C'� /�/l��Z���d�� L�JCity: � <br /> CONTRACTOR'S NAIVIE: J .� ✓ G-�=�W=s7�, Bus. No.: (D-�/-�J�//� �J <br /> Mailing Address:� �C;'S �'�1��IZf l'�J �L�- CitY: ``��'T-� k�'}� U 1-- <br /> , <br /> Demolition if planned by means of: 'k manual disassembly <br /> X 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 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 /> 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 backfilling. <br />