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^r _ <br /> ♦ <br /> � _ <br /> CITY OF ORONO - APPLICATION FOR DffirIOLITIOP P$RMIT <br /> P.O. Box 66 (1335 So Brown Rd) <br /> Crystal Bay, MN 55323 <br /> SPECIAL CONDITIONS & 80LD HARMLESS AGREEMENT <br /> :�:*�**��*�t�:*�*�***#:**:��*���::**�**��*�t:�**�*�*:#**��t*#��*t���:t�:���:: <br /> General Instructfons <br /> 1. You may be required to obtain other permits, i.e. burning, well <br /> _ ._..�. _.�: abandonmment,� etc.�.,..__. . �v, _...:. .:...:. � ....� �..�,r..��..-. ,.�.. , .�:..,.... . - -- <br /> 2. Work must not begin unless the permit card is available on the job <br /> site. <br /> 3. A 24 hour notice is required for all inspections. Call 473-7357. <br /> ***:::*����:*::��:�:���:�:�*:�:#:*::�::*�**:***:#*��*:*#:*��*::�::*:*::�*:* <br /> JOB SITE ADDRESS: D ,rJ�^ orc� i'� <br /> Occupancy Type: �Resfdentfal Commercia <br /> OWNffit'S NAM$: Phone: <br /> Mailing Addres : City: /���T <br /> CONTRACTOR'S NAI�: ` a Bus. No. : �7S'""�'33-3/ <br /> Mailing Address: . City:� �a,i�--a� <br /> ***:**:*****::�: * * * *:::*�:t*���*�r*:**�*� f * :*:*�*:** <br /> Demolition if planned by means of: manual disassembly �heavy equipment <br /> burning (by fire department) <br /> Permits Issued: <br /> # Burning Fire Department <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit, the undersigned owner <br /> hereby agrees as follows: <br /> 1. The structure(s) shall be kept enclosed and/or secured until such time <br /> as demolition is complete. <br /> 2. Demolition debris will be kept off adjoining property and/or the <br /> public rights-of-way unless specific prior approval is obtained in <br /> 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 <br /> accordance with al 1 applicable PCA requirements. <br /> 5. Water wells must be abandoned in accordance with State Health <br /> Department regulations. <br /> 6. Inspection reguired when all debris has been removed, before <br /> backfilling. <br /> 7. Within 5 working days of superstructure removal , a final inspection <br /> shall be requested. The site shall be left clean and clear of all <br /> debris, with any excavation filled with earth level with the adjacent <br /> _ ground elevation (except when such excavation is to be used as part of <br /> a new building and such new building is actually under construction). <br />