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! � ' � <br /> 4. Submit a$2,500 escrow and an escrow agreement signed by the property owner(copy attached). <br /> 5. Keep a!I structure(s)enciosed and/or secured until such time as demolition is complete. <br /> 6, Keep all demolition debris off adjoining praperty and/or the pubiic rights-of way unless specific prior <br /> approval is obtained in writing for temporary use ihereof. <br /> 7. Completely remove foundation(s)from the ground. <br /> 8. Completely dispose of all demolition debris ofl site in acoordance with al4 applicable PCA requirements. <br /> 9. Abandon water wells in accordance with State Health Qepartmertt regulatio�s. <br /> 10, Cal1 for an inspection when all debris has been removed, before backfilfing. <br /> 11. Within 5 working days of superstructure removal, a flnal inspecti�n sha(I be requested. The site shall bs <br /> left clean and clear of all debris, with any excavation fiiled with earth level with the adjacent ground <br /> elevation (except when such excavation is to be used as part of a new building and such new building is <br /> actually under constructian). <br /> 12. Abandon septic systems per Minnesata Rules Chapter 7080. All septic tanks must be pumped, crushed <br /> and filled with native soils. An inspection is required after the tanks are pumped and before the tanks are <br /> crushed and filled. <br /> 13. The undersigned owner shall and hereby does indemnify and hald harmless the City of Orono, its agents, <br /> employees and assigns from and against all claims, damages, losses or expenses, including attorney <br /> fees, against the City, its agents, employees and assigns arising out of or resuiting from the demolition <br /> described herein as performed by the property owner, his employees,agents,subcontractors or assigns. <br /> PERMIT TYPE AND FEE CALCULATiON <br /> �/$75.00—Principal Structure � ' �� = �"l+`� <br /> , <br /> ( �,� <br /> ❑ $50.00 —Accessory Structure x {how many) <br /> 1. Subtotal of abov� permit requested $ <br /> 2. State Surcharge 1.00 <br /> 3. TOTAL PERMlT FEE (add lines 1-2 above) $ O� <br /> The undersigned herby applies ta the City of O�ono for issuance of a Demolition Permit, agrees to do <br /> all the work in a strict accordance wiQi the ordin�nces of the City and the regulations ot tt�e State of <br /> Minnesota, and certifies that all state�rr,�ents made this application are complete, true and correct. <br /> � �� / ,/ <br /> '��" � _ �- i7 <br /> Applicant's Signature: � � �� 'j Date: o <br /> Owner's Signature: ,�z �S� S�. Date: U/ �O /' 17 <br /> Approved By: Date: <br /> ( uilding Officiaf) <br /> *Zoning Disclosure Required? ❑ YES � ND �G'� r �� � � �/4 � �v���� <br /> �This must be filled out by Zoning Department—For eitheklanswer, a Zonin Official must si n all a lications. <br /> 9 9 Pp <br /> '"Approved By: � Date: <br /> (Zoning Officia <br /> Form Lasf Updated: Jufy 2015 <br /> ISU784 <br />