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� . d� � <br /> � <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (2750 Kelley Pazkway) <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 abandonmment, 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 a11 inspections. Call(612)249-4600. <br /> JOB SITE ADDRESS: ��'I'L� �C�.� SHO�i ���� <br /> Occupancy Type: _�Residential Commercial <br /> O`VNER'S NAME:�A��� �'�'�� Phone: ��"� ��'�b <br /> Mailing Address: 'M I�L4� City: <br /> '-1�T-� <br /> CONTRACTOR'S NAME: � Bus.No.: <br /> Mailing Address: City: <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 follo�vs: <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 adj oining properry 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 Departrnent regulations. <br /> 6. Inspection required when all debris has been removed,before backfilling. <br />