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I � � , I eer�i�s ie:e� THE CITY OF OROFJO 612-473-'T357 e02 <br /> ' •� � �2 <br /> CITY OF URONO A�'PLICAT�UN FOR DEMOI.iTinN PERMIT <br /> P.O. Box 66 (2750 Kclley Parkway) <br /> Crystal Bay, MN 55323 <br /> SPECIAL COND�'TiONS & HOLD I�[A�tMLFSS AGREEMENT <br /> General Instructions well abandonmment, etc. <br /> i. You may be requircd to vbtain othcr pernilcs, i.e. burning, <br /> 2, Work must nOt begin unless the permit card is availabte on the jab site. <br /> 3. A 24 hour notice Is reyuired for all inspections. Cail 473-7357. <br /> JOB SITE ADDItESS: 3�!$ `1(_ ►�.�7n S H�� <br /> Occupancy '�'ype: �Kesidential �,�Commercial � <br /> OWNER'S NAME: `��2 • Pho�: 297—Z4'!� . � <br /> Mailuig�Address: k�*— � <br /> ,,o,� City: .Sr•-P � w�h -r�5/bto � <br /> CONTRAG70R'S NAME:, ��rr r� ���`� Bus. Na 928?.?��-- <br /> Mailir►g; Addmss:�{ �000 ll�+' �1.4'c� - City:�t�f,rt�,n 5 `/ <br /> Demvii�on if planned by mr,ui�s of: msnuai disassembly <br /> heavy cquipment <br /> ; � burning (by fire department) <br /> I <br /> Permitsj Issued: <br /> � Burning Fire Aepartment . <br /> � Wcil Abandonment <br /> I In retucln for issuance of said Demolition Permit, the wndersigned owncr heraby agrees as <br /> foIlows� <br /> 1. The swcture(s) shall be kept enclosed and/or securcd until such time �s demolition is <br /> � compYete. <br /> , i <br /> 2, Demolition debris will be kept off adJoining property and/or thc public rights-of-way <br /> � . uniess specific prior approval is obtained 'w writin8 for tempvrury use thcreof. <br /> j <br /> 3. Foundatiuns sl�all bc comptctcly removed from the �round. <br /> ; 4. All demolition debris shatl be completeay disposed of off site in aecordaace with all <br /> applicable PCA requircments. <br /> I I� 5, Water wells must be abandoned in accordance w9th State Health Department regulations. <br /> 6. lnspection requircd whCn all debria has been removed, before backfilling. ; <br /> � <br /> . ; <br /> I i I <br /> � <br /> I I � <br /> I , � <br />