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<br /> � �ly rs �V'S� . . .
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<br /> 2. bemolat�on debris will be ke,�t of£adjoiwiag groperCy aud/oz t}a.�public r�ght�-o way untess
<br /> specific pxa,or a�roval.is ob�aaned in wwri�ti�ug�or t�emporary use f�arao£
<br /> � 3. Faua,daCi.ons shall be comp�etely�removed from the ground. � .
<br /> 4. ' A11 c�,molition'debris sha1�be aompletely dispos�of o£f site in accorda�,ae with a11
<br /> . �lacab�.e PCA re�quirements. '
<br /> 5. Watex walls�anust b�abandoned in acca�rda�nae wiYh.Skate Heal�tb�Depa�fimcnt reg�ilataons. .
<br /> . 6. �Zspection reqaired when a���,ebris ha�beea.removed,before bacl�6ial�i�ag, .
<br /> 7. W�itk�in 5 v�o�days of an�ershiictur�re�moval,a�na1 inspeciion.sha,�b z�sted.. The
<br /> � site sb,a1�be le#t c�ea�a and cl�a.r of all debtxs,wi�'h any excavation,fi11ed wi earth 1eve1 with
<br /> the ad.jacen.t ground e�evation(except when suc�e�oavation is to be vsed as�art a£a new �
<br /> ' buildiz�g and such nerw builditig is aotually under coz��ta�ttction). . .
<br /> 8. S�ptic systtema must be abandoned pex XV�['inaosota Ru.les Chapter 7080. A�1 tic taalcs . �
<br /> xnust tie pumpe�cl;cruehat and fi11ed wi4k�rnakive soils. .An ' on is re��d after the .
<br /> e�
<br /> � ta�ks ate gvmped and b�foze tha tanl�s are crushed a�otd fi ed, ' .
<br /> 9. .The undezs�igmal.own�r sba11 aad�ereby does indemn�i£y aa,d ho d has�nless tb�,e City of � �
<br /> C�rono,i�agenfs,employe��d assigae�rv�m and agai.nst ail c�me,damages,loese�or ,
<br /> . e�enses,including a�tam.ey�ees,ag�inst�e Cify,its agents, �loy�ae aad a�signss azi,sing . .
<br /> oizt o�o�xesu�t�g�roni the damolit�om desen"bed 3�erein as pex�orai�d b the properiy ownaz,
<br /> • hiS�nn�Ioye,ea, agez,tts,suboon�ractors or as�ig�,s. � �
<br /> � � � I
<br /> PE�T TYPE AND��C `�O�T �
<br /> . .... ..._�__...__._- - ------._........_...-�-�----�---.__....__......_ . . ..__. . ._...................._----��� - --......._..:._
<br /> ...... ._._.._......---.�___..,.......�......-�--�--- �� -- - — - �
<br /> • � $75.00—F,�ncipal Stzuctur� . .
<br /> $50.00—Accessory Structuxe (how n�emy) (�) �
<br /> 1, Subtdl�l o�abovepermit requ�ted $ � S • � :
<br /> 2. State Surchatge , $ 5.0�
<br /> 3, TOTAL PER1V�[',��+E(add lines �-2 a.buve) $ �d•�"" ' , .
<br /> � The undersig�aed Jaerby applies to t$e City of Omno foz zs�uauce of a Demo t�c�Pe�uit,a °
<br /> , to do a1t the woz���striet accurda�ce wi���he ordinances o�the City�d e z�egulxttons o
<br /> t�e State of Mirmssota, aud ce�fes f�at aU s�texnenYs m�de oz�tki�is applic 'on ate vomplete
<br /> trlle�[�00�70Ct.• . � . , .
<br /> ,A,pglic,�nt's Sig�ua : Date•
<br /> Orwner's aiguature: �( �Date• �. �
<br /> . . . �
<br /> ' ��Prnved�Y� Dste• �-�' ' ► t
<br /> O£�cial) � .
<br /> ��mn t t�elosure Req�ixec�3❑ YES �O t�,,,('', .
<br /> �1ed otu by Zoniag D�e�t ��r�that s�swax,a Zoni�g Offiicia.l m e:�a I appl�cat�ions. �
<br /> *.A,pProved�y: T�ate: �
<br /> (����) � ' .
<br /> �
<br /> � �� � .
<br /> Z/Z 'd £til£' �N � 93N� 1N'd1SNI WdZl� l l101 'Z ' aeW
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