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. Aug-24-20D6 08:42am F�am-CI?Y Qf OPONO +�522dF461E T-463 P_[Q1lC10 F-E56 <br /> � . <br /> �� <br /> ti <br /> � �933� <br /> �D-Zp-GzS <br /> CrIY OF ORdNO APPLYCAT�ON FOR D�MOLTTIfJN PER�'1�II'� <br /> P.0, 13ox 6b�2750 Kelley Parkway) <br /> Crystal Bay,MN 55323 <br /> SPECT.�L CONDIT'I4�'S& HOi.D H�1R141LESS AGREEi1�1E1�T <br /> General Instructions <br /> i. You may be requerad to abtain other perrr.its,i.e.well abandomm��ent,etc. <br /> �. WQrk must not bagin uuless thc permit card is available on the job site. <br /> 3 A 24 hour notice is required for�11 inspections. Cal!(612)249-460Q. <br /> �OB SITE ADDRESS• �-I-� �,,.S h�r��r2 _ <br /> pe,cugar.cy Type: �_Residential Coztunereial <br /> OVV�E�L'S1�'A,.M1�'E:�������'�r�!>YV Phone• <br /> ;�4ai►in�Address,�`�� FI«��_C1t`��� R. Ciry:��lf� �rc��� a,�„ <br /> "S <br /> CQ�TTRACTO�t'S NA�vIE:1Z1,.��; �rv'�" Bus.No.:�S„�-4�-(- -�lo�� <br /> tilaiting Address:(�9 70 �.rvu�v�.z� City: �I o� ,�r,�__. <br /> .�s.3.�a <br /> Demolitian if glanr.ed by mea�.s of: manual disassembly <br /> _�heavy equipr.sen! <br /> Pennits Tss� d: <br /> #�Well Abandonrr.ent , <br /> Ia retucn far issuance of said Demolitian Permit,the uz:dersigned o�wrer hereby agrees as Follows: <br /> I, The streicture(s) shall be kep� c:�closEd andlor secured �.:nt�l sucb timc as den�olition is <br /> c�mplete. � <br /> :, Demolition dcbris�vil:be kept aff adjoining property and:'oz the public zighu-of-way�uu:ess <br /> specific prior approval is obtained in tivtiting for tempora�T use the:eof. <br /> 3. Founde�tions shall be complete;}�removcd f om the groun3. <br /> 4, All demolition debris shail be cornpleiely aispased of off site in accor�3ance w�ith alt <br /> applicabl�PCA requirerneats. <br /> 5. Wat�r w�lls must be abandan�d in accorda.�ce with S:ate Health Department regulatior,s. <br /> 6. Inspecuon rGquircd when ali dabris has heer:rcrtio�ed,befare backfilling. <br /> .�- <br />