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� <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERNIIT � <br /> P.O. Box 66 (2750 Kelley Pazkway) . � <br /> Crystal Bay,MN 55323 <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> GeneralInstructions ' - <br /> 1. You may be required to obtain other permits, i.e. well abandonmment, etc. <br /> 2. Work must not begin unless the permit cazd is available on the job site. <br /> 3. A 24 hour notice is required for all inspections. Call(612)249-4600. <br /> JOB SITE ADDRESS: o���� h/alt,� ��e� J�, �, <br /> Occupancy Type: Residential �Commercial <br /> OWNER'S NAME: w�, (n.1 Phone: �y E,� 7�]� <br /> . Mailing Address: '2. City: .�► <br /> CONTRACTOR'S NAME: ��S �S)t.p��J� • Bus.No.: y�—�O-I—'�0 Ll <br /> Mailing Address: ��.J 1��"c1 V,�� , City: ft�Ll�.,,S/0�. <br /> Demolition if planned by means of: manual disassembly <br /> _�heavy equipment <br /> Permits Issued: <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit,the undersigned owner hereby agrees as 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 unless <br /> 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 />