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� <<��� <br /> � <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 55323 <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. well abandonmment, etc. <br /> 2. Work must not begin unless the permit card is available on the job site. <br /> 3. A 24 hour notice is required for all inspections. Call (612) 249-4600. <br /> - ._-- <br /> JOB STTE ADDRESS: )�t�'L'� ��%�'�/'_ `�l �.�.��_ ���`%'�. <br /> Occupancy Type: �Residential� Commercial <br /> n /! <br /> OW�ER'S NAME: ,�;�,(1�-� ` ,�'-���c-�s /�i���P M1� Phone: ���' �� ��: <br /> Mailing Address: ' City: <br /> , � .�-z �'����,i;,,�,��,.� ��. � , , <br /> CONTRACTOR S NAME: �f � � �--- Bus. No.: �7 , � <br /> Mailing Address:, f-� �� ���,.�..a2� C��. City: ��,.�_ l.� � � _ <br /> � <br /> Demolition if planned by means o£ manual disassembly <br /> �heavy equipment <br /> Permits Issued: .��,��ti� <br /> # Well Abandonment ��Y �� <br /> /' <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as follows: <br /> 1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> complete. <br /> 2. Demolition debris will be kept off adjoining property and/or the public rights-of-way unless <br /> specific prior approval is obtained in writing for temporary use thereof. <br /> 3. Foundations shall be completely removed from the ground. <br /> 4. All demolition debris shall be completely disposed of off site in accordance with all <br /> applicable PCA requirements. <br /> 5. Water wells must be abandoned in accordance with State Health Department regulations. <br /> 6. Inspection required when all debris has been removed, before backfilling. <br />