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. � , � �� <br /> , `' `\,\o.� �?'s c�.s o <br /> l'v\ <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 abandonment, 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 (952) 249-4600. <br /> JOB SITE ADDRESS: � �� °I n1- S V�o(Z� �►2�Jc <br /> Occupancy Type: ���Residential Commercial <br /> OWNER'S NAME: C> A-�-y � S n�,.l�,2A ��20�1 Phone: 7�3'��'�at 3 y� <br /> Mailing Address: �?�f S `i orL�.t�o�� �.�► ►J� Cl�: (�l.`(�O J T�. r-� ►� <br /> CONTRACTOR'S NAME: M k-{3�� ,+.��, � �J e Bus.No.: �(� 3-��((� '8 3 3 I <br /> Mailing Address: 2 SZ� n(c-�/„�,�a �✓E r✓- City: (,',��,��—►.� �/,c�,,��y n.,.1 <br /> Demolition if planned by means of: manual disassembly <br /> _,�heavy equipment <br /> Permits Issued: <br /> # Well Abandonment <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. Sewer and water must be disconnected at the services at the street by qualified contractors. <br /> 7. • � �Insp�ction required when all debris�as been removed, before backfilling. <br />