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� , <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PER��IIT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, i�1N 5�323 <br /> SPECIAL CONDITIO�IS & HOLD HARiti1I.ESS AGREEMENT' <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burninQ, well abandonmment, e�c. <br /> 2. Work must not be�in unless the permit card is available on the job site. <br /> ;. A 24 hour notice is required for all inspections. Call 473-7357. <br /> JOB STTE ADDRESS: �1, � No 2-�`� �c-y-o� p(Z <br /> Occupancy Type: Residential Commercial <br /> O`�'ER'S NQt�ti1E: �/bFi�1 ��- S r�A ;;-�^��;�r� .� Phone: ��/–Do to C� <br /> Mailin� �ddress: � , -.:' ',, �' -�_.� Ciry:_�siAC., 'l3��! — <br /> CONT'RACTOR'S NAlI�: �P� �/�/ov�� C� Bus. No.: �`t�` �`� `� � <br /> Mailing Address: ��•`,� C�.�_ p.i���_ r�`� .:��,. City: �'7_ t,..e,� c.�r i W j� <br /> Demolition if planned by means of: _� manual disassembly — PA2�-c� ���Y�n..c� <br /> heavy equipment <br /> bumin� (by fire department) <br /> Permits Issued: <br /> ## Burnin� Fire Department <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit, the undersi�ned 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 /> comple[e. <br /> 2. Demolition debris will be kept off adjoinin; 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 re�ulations. <br /> 6, Inspection required when all debris has been removed, before backfillin�. <br />