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_ i <br /> CZTY OF QRQNQ APPLICAT�QPi �QR D$MOLiTiOI+I P�LIT <br /> P.O. Box 66 <br /> Crys�aZ B�y, MN 55323 <br /> SPECZAL CONDITIONS & HO��D HARMLESS p.GREEDiENT <br /> f,��***:tt+r����*�+t�*********�t*********�#�tts�+�t*�**��****t:***���**s**:x:::: <br /> Genert�I Iastxuctions t�� <br /> 1.- Ypu may be required to obtain other perm�tis� ��.21�u��ft'�'ng, Well. <br /> abandonrnment, �tc. <br /> 2. Work must not begin unl.ess �he permft Card is available on th� �Ob <br /> site. <br /> 3. A 24 hour noti.ce is required fa�' �17. inspection�. Call 473-7357. <br /> itlt�r*�!***#itit*�Itit,Ar�Ir*it�lt**tit*�tytit**yttit�**�tititit*�tit�t*,+�t*�*�***t**itf*,t�tatt!*xytasr��tyeae:at*yt <br /> �os si� �n�ss:�Z�� (�,�vP�--�� ��'.���� Df� <br /> Occupaney Types x Residential Commercial <br /> �uAL�kNT�n � <br /> OWI�ER'S NAMR: �Y�I� �l� � �-� fY�-�RC'� �Y'�,U`l Phone: �j 7�� - 7��� � <br /> Maizxng Address: �Za��, ,�R��� E� � aL.�L �-;��� C tys <br /> CONTRAC��R'S NRME: � y�' � � ' �,il Bus. No. :_�ch� yYZ: <br /> Mai Iing Address: ' �, • � �, City: ���, /e�55/� <br /> �t+t�ate*�s�t,r,sit7fryt*ir � it#itirit: : tk�itytat <br /> Demolition it plannec� by means of: manual disassembly � heavy equipment <br /> ^burn�.nc� (by fire d�partment) <br /> Permi�s Issued: <br /> f� �urni»g rire Department <br /> �# WeZl Abandonment <br /> zn zeturn tor is�uance of �aid Demo2.ition �ermit, the under5igned owner <br /> hereby aqrees as tollows: <br /> l. The struGture(s) shall. be kep� ertclosed and/or secured un�iZ such time <br /> as dema3ition is complete. <br /> 2. Demol�t�Ori debris will be kept off ac��oining property and/or the <br /> pub�ic xights�af-way unless specifa.c pri.oz approval is db�ained �n <br /> writing for temporary use thezeo�. <br /> 3. I`oundzttions shall be completely removed from the groulld. <br /> 4 . A11 demalition debria sha]. 1 be com�l.�tely dis�ased of o�� sit� in <br /> accordance w3th aI I app��Gab].e PCA requirements. <br /> 5 . Water wells mus� be abandon�d in accox-dance wi�h S�a�e Heal.th <br /> Department r�gulatians. <br /> 6. Iaspeati.on requi.red when all d�bx�s has b�en x'�FnbVEC� � befoze <br /> backfilling, <br /> 7. Within 5 working days o� sup�rstruc�ure remava]. r a f ina 3. inspection <br /> shall be xeques��d. The site shalZ be left clean and cl.ear of al. l <br /> debris, with any excava�ion �i�led with eartih level witih �he adjac�nt <br /> ground eleva�ion (except when such excavation is to be used as part of <br /> a new bu�I.ding and such n�w building is ac�ua3ly under cons�ruction). <br /> ` _�Q�!c� <br /> �!t `_ <br />