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4. Submit a$2,50Q escrow and an escrow agreement signed by the property owner(copy attached). <br /> 5. Keep all structure(s)enclosed and/or secured until such time as demoli#ion is complete. <br /> 6. Keep all demolition debris off adjaining property and/or the public rights-of way unless specif� prior <br /> approval is obtained in writing for temporary use thereof. <br /> ?. Completely remove faundatian(s}from the ground. <br /> 8. Completeiy dispose of a11 demolition debr�off site in accardance wi�a!1 applicabte PCA requirements. <br /> 9. Abanri�n water welts in ar�ordance with State Heatth Department regula6ons. <br /> '!0. Call for an inspection when all debris has been removed, before backflling. <br /> 11. Vlfithin 5 working days of superstructure removal, a final inspection shall be requested. The site shall be <br /> left ciean and ciear of all debris, with any excavation filled vvith earth levei with the adjacent ground <br /> elevation (except when such excavation is ta be used as paR of a new building and such new buitding is <br /> actually under canstruction). <br /> i2. Abandon septic systems per Minnesota Rules Chapter 7080. AR septic tanks must be pumped, avshed <br /> and filled with native soiis. An inspection is r�equired after the tanks are pumpeci and befiore the tanks are <br /> c.�ushed and filied. <br /> 13. The unde�signed owner shait and hereby c�es inder��nify and hald harmless the City of Orono, its agents, <br /> employees afld assigns from and against atl claims, damages, losses or enpenses, includi�g attomey <br /> fees, against the Ci#y, its agents, empbyees anc{ assigns arising au#af ar resulting from the demolitian <br /> tfescribed herein as perfarmed by the Property owner, his emplayees,agents, subcontractars or assigns. <br /> PERMIT TYPE AND FEE CALCULA►TfON <br /> �[ $75.00- Principal Structure $ 7 'S • �"�' <br /> (�1 $�a.00-Acxessory Structure x 1, (how many) �O . �� <br /> 1. Subtotal of abave permit regues#ed $ 1 Z�, "" <br /> 2. State Surcharge 1.Q0 <br /> 3. TOTAL PERMlT FEE (add lines 1-2 abave) $ � Z.�, � <br /> The undersigned herby applies to the City of Orono for issuarFce a#a Dernotition Permit, agrees to do <br /> all the wor4c in a strict accardance with the ordinances of the City and the regulations af the State af <br /> Minnesota, and c�rtrtifies that aN statem�nts made an this application are complete, true and correct. <br /> Applfcant's Signature: � Date: Id `��� <br /> Owner's Signa#ure: '`- ` � .,--• Date: (� • t�• (5 <br /> Approved By: �_ Date: y� ! � <br /> ( uilding fficial) <br /> *Zoning Disclosure Required? ❑ YES ❑ NO <br /> `This must be filled out by Zonin rtment-F either answer,a Zoning C)fficia!must sign all appiications. <br /> *Approved BY� Date: �! �Z �,6 <br /> ' o � g Officiaf} <br /> �v����Mq Aec'w,��r� ve� Zi 3 -�o( v�'�(J GtQ1M� fs�tlw°d <br /> Fnrm Lasi{/pdafed: Juty 2015 <br /> 150784 <br />