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r <br /> 09i18i95 08:54 THE CITY OF ORONO 612-473-7357 002 <br /> ` � �r��I�''y <br /> i � <br /> I <br /> � CTTY OF ORnNO APPLICATIQN FOR DEMOLTI'ION P�RMIT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystai Bay, MN 55323 <br /> SPECIAL C(73YDTI'iQNS .4z HpLD HARMLESS ACRETLN�;NT <br /> � General Instructions <br /> 1. You may bc required to obtain other perniits, i,e, buriuug, wc:ll abandonmment, etc. <br /> 2. Work must not begin uin�less the permit card is available on �he j�b site. <br /> � 3. A 24 hour notice is required f�r alE inSPeGt10�S. Call 473-7357. <br /> I <br /> � JOB SITE ADDRESS: _ j35� /��i St�x� D�� • <br /> � <br /> Occupancy Type: Residcntial Commercial <br /> � OWNER'S NAM�: �,��,�-�,�,��- Lr J��.,L (�y�,,,�� Phone: 29? -29/1 <br /> � Mailin Address. <br /> S ' /Zao r,��.•�..�Z.,4,o � Ciry. <br /> CONTRACTOR'S NANIE: �, , y .�..�_ Bus. No.: Z -2�� _ <br /> Mailing Address:/ aov E.� �.n,�e _ _ City: ~ s�S�37 <br /> Demolition if plaru3ed by means of: manual disasscrnbly <br /> � heavy equipment <br /> � burning (by fire department) <br /> Permits issued: <br /> � $urning Fir� De�artment <br /> # Wcll Abancfonment <br /> In return for issuance of said Demolitivn Permit, the uz�dersigned owzler hereby agrees as <br /> follows: <br /> 1. The structure(s) shatl be kept enclosed and/or secured until snch time �s demolitio� is <br /> complete. <br /> Z. Demolition debris wiIl bc kept off adjaining properry and/ox the public rigk�is-of-way <br /> � unless spec��ic prior approval is obtained in w�iting for temporary use thereof. <br /> 3. Foundations sha11 be comptetely removed fr�m the ground. <br /> 4. All demolition debris shall be coinpletely disposed of off site in accorda�ce wiLh alt <br /> applicable PCA requiremeiits. <br /> 5. Water weIls rnust be abandoned in accordancc with Scate Health Department zegulati0ns. <br /> 6. Inspection requi�-ed when alt debris has been removed, before back�lling. <br /> I <br />