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• . , v � i-i9-o� ,��-� � AoS337 <br /> . .¢,��0 SD <br /> �`-J <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O, Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, NIN 55323 <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGRE�MENT <br /> General Instructions <br /> 1. You may be required to obtain other penizits, i.e. well abandoiunment, 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 /> JOB SITE ADDRESS: � � /�� �l/�'� �����!/�`., <br /> Occupancy Type: �Residential Commercial <br /> OWNER'SNAME: i�n.�, i l�� �( Phone: 7�� �7/ -7�'�j� <br /> Mailing Address: � � ';� ,�//�f�- eS���� � City: � � ��rti,� , ,�_ <br /> CONTRACTOR'S NAME: Bus.No.: <br /> Mailing Address: City: <br /> Deinolition if plamied by means of: manual disassembly <br /> �_heavy equipment <br /> Permits Issued: <br /> # Well Abandorunent `�' � 0/3���''�� �'� s�"'''�"�9 �'`'�� <br /> In return for issuance of said Demolition Perniit, the undersigned owner hereby agrees as follows: <br /> 1. The structure(s) shall be lcept enclosed and/or secured until such time as demolition is <br /> complete. <br /> 2. Demolition debris will be lcept 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 t11e ground. <br /> 4. All demolition debris shall be coinpletely disposed of off site in accordance with all <br /> ap�licable 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 />