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4. Submit a$2,5€70 e�raraw and arr eecf+ow agroemertt�i�r�erd by the prpperty owner. <br /> 5. Keep ati s#ruc#ttre(�)endosed aa�ttdlt�r sec�uttred wrtil�udt�me�s demot�#�rt is coanplete. <br /> 6. Keep �1i dernalition debris off adJoining proper�y andtor the pubiic ryghts-of way unless s{�ec'rfic <br /> prior apprQval is c>btained in wtitir►g for temporery use thereof. <br /> 7. Comple#eiy remove tound�titsn(s)�'r+am the ground. <br /> 8, Com�e#el�r dispo�e of aft cfemoli�on deGris off site in �cardar�ce avith ail appt�csbl� F�A <br /> requiremer�ts. <br /> 9. Abandon water weit�in accordaru�s with Sta#�a Heaith t)spartment regul�tions. <br /> 10.C�il far�n�r�spectian when ali debris h�been remov�d, befar�bac�cl'illing. <br /> 11. Within 5 working daya af supe�ruc�ure removal, a fma! inspection shall be nsc�u�ted. Tf,�si�e <br /> sheli be left ciesn and clear of all debris, wittt any a3ccawatptsn filted with eerth tevel wi;h the <br /> adjac�nt graund eleva#i�rs (sxc�pt wl�en such excavetion is to be us�d as pa�t af a new br riiding <br /> �r�d such new buiWing is actually urtd�r cr�rrsttu�tion). <br /> 12.Abandon septic systems per Minnesota Rules Chapker 7050. Ai3 septic t�nks must be pu nQed, <br /> crushed and fillsd with �ativ� soiis. An inspectian is required after the tanks are pumpE d and <br /> bei�or�the tanks are crushed ec�d ittted. <br /> 13.The undersigneci awner shail and he�eby does inc�mnify and hotd harrnless #l�te City af(No�ro, <br /> its agerrts, emptayees and assigns #rQm and aga�nst alt daim�, damages, losses vr exp�>naes, <br /> ir�iu�ing attomey �hees, against #he City, its as�ents, emptayees and assigns arising ou of vr <br /> resufti�g from the demoiition describeci herein as petfo� by the property ow+nf r, his <br /> ernplr�yecs, ag+ents, subcontractors or assigns. <br /> PERM#T TYPE AND FEE CALCt��AT10N <br /> ❑ $7`S.O+D-Principal Stru+�ture $ �j� � <br /> [� $5D.0{�-Accessory Struetur$ x (how many) <br /> 1. Subtota! of above pemnit requested $ <br /> 2. State Surch�rge 5.00 <br /> 3. Tt)TAL PERMIT FEE (�dd ti�es 1 2 ab+�v+�} $_ _ �=� <br /> Tha undrers�nsd herby �pptie� to the City of 4rono for issua�ce af a C3�motition Permit, a9re� tfl do <br /> aii ttse work in a strict accordance with the ordin�nces of the Cit�t and the regulationa of the S ate of <br /> Minnesa#a, and r.ertifiies tha�a8 statemerrts made on this applic�tion are cx3mplete, true and corre�, <br /> Applicant's Slgnature: -- Date: ��` j Z j���s <br /> ,� � � � _ . ; ��a <br /> Ow►�err's Signetun; -_ ..,� .r��__....... Date; �<� ; � � <br /> F�'� ,��� .�, <br /> Approved By: '�- D�te; 6 - 1 z- � J� <br /> uilci�rr�Ufficisl) _._ <br /> *Znnir,g Disc(osure Required? YES � Nfl <br /> "This must b�fi11ed out by Zani n — ar e'rther r,a Zort'tng 4ffr�i�;must sign ali appiicat��ns. <br /> "�Pt�'v+e�i By: Date: � <br /> { ning C�ffi �"r` <br />