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Jun 12 07 03:G6p Gregg Stienhafel 952-476-4376 0.1 <br /> JLM-11�2007 14�34 HOLLIG RND SONS [NC 9529389615 P.03 <br /> 4 � <br /> 2. Demolicion debris will be kept off adjoining pmperty andlor tbe public rights-of way unless <br /> specific prior approval is obtained in writing for temporary use Ihereof. <br /> 3. Foundations shall be completely removed from the g►-ound. <br /> 4. Atl demolidon debris shall be completely disposed ofoflf site in accordance with alI <br /> applicable PCA requirements. <br /> 5. Water wells must be abandoned in accordance with State Health Department regulations. <br /> 6. Inspection required whea all debris has been removed,before backfilling. <br /> 7. Withirs� working days of supeistnicture removal,a final u�spection shall be requested. The <br /> site shall bc left clean and clear of all debris, wich any excavadon fiLled with earth Ievel with <br /> the adja:.ent ground eIevation (except when such excavaiion is to be used as part of a new <br /> building and such new building is actually uncer construction). <br /> 8. Septic systems must be abandoned per 1Vlinnesota Rules Chapter 7084. All septic tanks <br /> must be pumped, crushed and filled with naTive soils. An inspection is rAquired after the <br /> tarilcs are pumped and before the tanks a.*e crushed and fi]le� <br /> 9. �'he unde�igned owner shall and hereby does indemnify and hold harmless the City of <br /> Orono,its agerzts, employocs and assigns from and against al1 claims, damages, losses or <br /> expenses, irtc�uding attomey fees, against the City,its agents, employees and assigns arising <br /> out of or rest�Jting fi-om the deatolition described herein as perfonned by the property owncr, <br /> his employees, agents, subconh�actors or xssigns_ <br /> PERl17IT TYPE a'�1D FEE CALCULATIO� <br /> 50.00—Principal Structure <br /> �30.00—Accessory Structurc (how many) (what) <br /> 1. Subtota:of above�ecmit requested $ <br /> 2. State Surc;harge $ .50 <br /> 3. TOTAL PE�MIT FEE (add lines l-2 above) S <br /> The undersigned herby applies to tlte City of Orono for issuance of a Demolition Permit, agrees <br /> to do all the work in a strict aecordance with the ordinanees of the City and the regulations of <br /> the S[ate oflV�innesota, and certifies that all statenents made on this applicatio,i are cornpiete, <br /> true and correcG <br /> Applicant's Signatvre: �� Date; 7`— � "' �� <br /> Owner's Signature: � Date; �'�/ �� "� <br /> Approved By: Date: � "�t ��1 <br /> uilding Offlcial) <br /> *Zoning Disclosnre Required? ❑ YES ❑ NO <br /> '`This must be fiUed out by zonin Dtp�rtment—Foc either enswer,a Zoning O�cial r-iust si�n a11 applications. <br /> F <br /> �/ :' <br /> :n� � <br /> �'APProved.By: ,..,.��`1,,�'"�...- r Datc:� � � <br /> '("Loaing Officiat) <br /> T07AL P.03 <br />