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� <br /> � - ;�U5(�C� �' <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERNIIT <br /> P.O. Box 66 (2750 Kelley Pazkway) <br /> Crystal Bay,MN 55323 <br /> ' SPECIAL CONDITIONS&HOLD HARIVII,ESS AGREEMENT <br /> General Instructions <br /> 1. You may be required to obtain other pernuts,i.e.well abandonmment, etc. <br /> 2. Work must not begin unless the permit cazd is available on the job site. <br /> 3. A 24 hour notice is requued for all inspections. Call(612)249-4600. <br /> , <br /> JOB SITE ADDRESS: .- <br /> Occupancy Type: Residential Commercial <br /> OWNER'S NAME:�� (�J�(�i�.� Phone: lpf — �� �oZ <br /> MailingAddress: 3(naS/l�D.,��.�_ �� City: (�'314Y�l�-T�4- <br /> CONTRACTOR'S NAME: Bus.No.: <br /> Mailing Address: City: <br /> Demolition if planned by means of: manual disassembly <br /> �vy 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 offadjoining 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 />