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. <br /> , � i 08i31i95 10:07 Tf� CITY � ORONO 612-473-7357 002 <br /> � 323 I <br /> � <br /> CITY OF ORONO A,�'PLiCAT�ON FOR DEMOLiTInN PERMIT <br /> P.O. Box 66 (2750 Kelley Parkway) I <br /> Crystal �ay, MN 55323 j <br /> ' SPECIAL COND�'I`IONS & HOLD HA.�tMLESS AGREEMENT <br /> � <br /> General Instructions well abandonmment, etc. <br /> i. You may be required to vbtain other perniits, i.e. burning, <br /> 2, Woik must not begin utile5s the permit card is avaitable on the job site. <br /> 3. A 24 hour notice is requizrd for all inspections. Catl 473-7357. <br /> JOB STR'E ADD�tFSS: 33Cv1� l�°i1i�'n �Ha""E �'�'"�-- . <br /> Occupancy '�'ype: Residential �Commerci�l <br /> OWNER'S NAME: �J 2• Phone: Z 1?�Z9� � � <br /> Mailutg I Address: <br /> City: P �� � ! <br /> CONTRAC'I'OR'5 NANIE: Ugu--�� L��.�4 — Bus. No.: 42�JL2��--— <br /> Maxling; Address: avt� �� City: Yrwt :SS 7`{ <br /> Demolit�on if planzied by mr.u��s of: � manual disassembly <br /> I ��_ heavy cquipment <br /> I bu�rning (by fire department) <br /> , � <br /> Permits�Issued: <br /> � Burning Fire nepartm�nt . <br /> � Wcll Aba:sdocunent <br /> , In retutjn for issuance of said Uemolition Permit, the uz�dersigned owncr hereby agrees as <br /> foIiows1 <br /> 1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> �omplete. <br /> I <br /> 2, �emolition debris will be kept off adjaining property and/or thc public rights-0f-way <br /> nless specific prior approval is obtainet! i�writing t'or tempvrary use thcreof. <br /> , i <br /> 3. onndations sl�all be cvmplctcly removed from the �round. � <br /> , � <br /> q, �4f1 demolition debris shall be completeay disposed of off site in accordauce with all <br /> �pplicable PCA requircments. <br /> I <br /> ' S, �JVater wells must be abandoned in accordance with State Health Dep�rtment regulations. <br /> ' 6, lnspect�on required wh�n all debris has been rcmoved, before backf'xiling. . i <br /> I <br /> I <br /> I i <br /> � i <br /> ' � <br /> ; i <br /> �, i <br />