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i � <br /> � • 08i31i95 10:07 T}� CITY OF ORONO 612-473-7�5'7 003 ' <br /> �� t I <br /> i� <br /> 7. Withit� 5 working days uf supersl�uccure r�m�'g�+ a �'�al inspection shail be requested. <br /> The site shall be teft clean and clear of all debris, wich any excavacion�lled with earch <br /> level with the adjacent grounc� elevat�on (cxcept when such excavation �s to be used as <br /> p��t of a new bu�iding at�d such new building is actually under constru�tion). , <br /> $. The under5igned owner shall and hereby does inidemnify and hold hartniless the Ciry of ! <br /> Orono, its age�tS, employees and assigns from and against all claims, gamages, losses <br /> or expenses. including attorney fees, against the City, its agents, cmploXees and assign.s <br /> arising out of or resutting from the demolition descr�bed herein as performed by the <br /> property owner, his employees, agents, subcontractors or assigns. <br /> pE��ITT TypE AND FF•E CALCULATION <br /> $50,00 - Principal Structure ' <br /> 1 I <br /> $30.00 - Accessory Stavcture ! ' <br /> I, Subtotal of above permit requested $ I <br /> 2. State Surcharge � ' <br /> 3. TO?AL P�ItMIT FEE (add lu�es 1-2 above) $ . <br /> The unde�signed hereby applies to the City of Orono for issuanu of a Demoiiti Pcnmit, agrees <br /> to do ail work in strict accordance with the ordinances of the City and thc lations of ihe , <br /> State of Miru►esota, and ce�ti�es that all statcments made on this application a complete, true � <br /> and correct. <br /> A,ppI,ICAN'1"S SIGNATURE � <br /> �Cs-�t Dat,e: . �J — <br /> pVVNER'S SICNATURE: <br /> Date:, � <br /> I <br /> APPRO'VED BY: Date: I ' <br /> � <br /> i <br /> � <br /> i <br /> i <br /> I i <br /> I <br /> I <br /> i ' II <br /> I � i <br /> , <br />