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__ ;�- ���-r��--- <br /> . �c: i < <i� � �4: <br /> CITY OF ORONO APPLICATION FOR DEMO�ITION PERM�T <br /> P.O. Box 66 (2750 Kelley Parlcway) <br /> Crystal Bay, MN 55323 <br /> SPECIAL CONDITIONS & ]EiOLD HARVILESS AGREEMENT' <br /> General Instructions <br /> 1. You may be required to obtain other peimits, i.e. well abandonment, etc. <br /> 2. Work must not begin unless the pernzit card is available on the job site. <br /> 3. A 24 l�our notice is required for all inspections. Call (952) 249-4600. <br /> JOB SITE ADDRESS: � i �� �� �/� �'1 i�` s ��'�l-s' � �� �'�'� � z-���� <br /> Occupancy Type: �_Residential Commercial <br /> OW'NER'S NAME: /-� �-L-�= /V /��L/�-�J C? /� Phone: �� �;� 7 � � 1 3 � 3 <br /> Mailing Address: � %(;� -� ����/'T ti S��o�� l:� City: C v�4 y z �4��/ <br /> 'C�'�`1�'I�C7COR'S1Vt�1VI�: � ,1=�' i��/I i,v_�� ����us.No.: <br /> Mailin�Address:��� �; /1/,�;:i � N D R� 1-� �—C1tY� �'������`� � <br /> Demolition if planned by means of: 4� manual disassembly <br /> �heavy equiprnent <br /> Perniits Issued: <br /> #��Wel1 Abandonment <br /> In return for issuance of said Demolition Pennit,the undersi�ned owner hereby agrees as follows: <br /> l. The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> complete. <br /> 2. Demolition debris will be lcept 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. Fotu7dations sl�all be cnmpletely 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. Sewer and tivater must be disconnected a� ihe services at the street by qualified contractors. <br /> 7, Inspection required when all debris has been removeci, before backfilling. <br />