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f j <br /> � � �31 i95 10:07 THE C I TY OF OfZ01J0 612-473-'i 57 603 <br /> . <br /> ! � � <br /> I <br /> 7. Withiz� 5 working days of supersttucture re�►ova�+ a fi�al inspection shail be requested. <br /> The sitC shall be left clean and cicar aJ'all d�bris, with any excavation tilled with eazth <br /> level with the adjacent ground elevatfon (cxcept whcn such excavation �s to be used as <br /> part of a new building at�d such new building is actually under construction). <br /> I <br /> g, Th� undersigned owner shall and hereby does indemnify and hold harmless the City of <br /> Orono, its agez�ts, employees and assi�ns from and against all claim�s, damages, losses <br /> or expenses. including attorney fees, against the City, its agents, cmploxees and assigt�s <br /> arising out of or resulting from the demolition described herein as performed by the <br /> properry owner, his employees, agents, subcontractors or assigns. <br /> , <br /> pE�tIT TypE AND FEE CALCULATION <br /> $50,00 - Prir�cipal Structure ' <br /> 1 <br /> $3Q.00 - Accessory St�'ucture � <br /> f. Subtotal of above permit requested $ <br /> $ I <br /> 2. State Surcharge <br /> 3. TOTAL PEItMIT FEE (add linas 1-2 above) <br /> $ I <br /> The undetsigned hereby applies to the C�ry of Orono for issuancx:of a Demoiitio Pcrmit, agrces ; <br /> to do all wock in suict accordance with thc ordinances of the Giry and tho regnlations of the <br /> State of Minnesota, and certi�es that aIl statcments made on this applicadon are complete, true ; . <br /> ; <br /> and correct. <br /> � ; <br /> APPLICANT'S 3IGNA • 1'- Dat,e: 9S <br /> i <br /> pW1YER'S SIGNATURE: <br /> Aate:_ � <br /> APPROVED BY: Date: <br /> i <br /> i <br /> i <br /> � <br /> I <br /> i <br /> i � ": <br /> ; � � <br /> ; I ; <br /> i . � <br /> I i � <br />