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fiu�-29-1011 02:d3Am From-CITY OF ORONO +9512484616 T-160 P.001/002 F-417 2. Demvlition debria will be kept off adjoining gr4perty and��r the public ri�ts-of way unless specific prior approval is obtained in writing for terrrr�porary use thereof. 3. Foundations shall be cvtr�pletely r�moved from the ground. 4. All demolition debris shall be compleiely disposed of off site in accordunce with alI applicable PCA requirements. 5. Water wells must be abandaned in accordance with State Health Dcpartment regularioas. 6. Inspection requi.red when all debris has been removed,before backfilling. 7. Within 5 working days of superstructure remova2, a fina� inspection sh��ll be requested. The site shall be Ieft clean and clear of all debris,with any excavation fillecl with eazth level with the adjaccnt ground elevation(except vvhen such excavation is ta be us�d as parc of a new building and such new building is actually under const�uction). 8. Septic systems must be abandoned per Minnesota Rules Chapter 7080. All septic tanks must be pumped, czusl�ed and filled with native soils. An inspection is required afler the tanks aze pumped and before the tanks are crushed and filled. g, The undersigned owner shall and hereby does indemnify aud hold hannless the City of Orono,its agents,eraployees and assigns from and against all claims,cfamages, losses or expenses,inclucling attamey fees, against tlie City,its agents, employe�s and assigns arising out of or resniting fram the dernolition descr�bed herein as performed 1,y the property vwner, his emplvyees,agents,subcontractors or assigns. pERNIIT TYPE ANY)FEE CAY.CULATYOIV � $75.00—Principal Structure � � 550.00—Accessory Struciure � (how maay) S�eQ ..,(What) t. Subtotal vf above permit requested � / 2� ..,� 2. State Suxcharge $ 5.00_. �. TOTAL PERMIT FEE (add lines 1-2 above) � �l� ._., The undersigned herby applies to the City of brono far issuance of a Deniolition Permit, agrees to do all the work in a strict accordance virith the ordina�aces of the City arid the regulariQns of the State of Mizvnesota,and certifies that all statemeats made on this apphcatian are complete, true and correct. .__--- _� , ' ^ � Applicant's Signature: Date: _ 6 �� l f �Owner's Signature: Date: '� � ` Approwed By: Date: �p �L � �� (S�il g OfScial) � � Zoning Disclosure Reqaire��YES ❑ N� *This must be�lled out by De c For tirher answer,a Zaning Offcial mus sirn 1 applications_ * ��R Date: �°. � ApPraved �y: �`� � 6- (Zoning Qf£icial)