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t.//0 <br /> 0 3 C° <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (2750 Kelley Parkway) <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 hout notice is required for all inspections. Call (612)249-4600. <br /> TOB SITE ADDRESS: 3 N0 6 1 d 6y4ct i ( y i t <br /> Occupancy Type: ✓ Residential Commercial <br /> 0- 9,6-3.(e/ <br /> OWNER'S NA11E: Pl i d Lis QNPAar rare.W• c N y Phone:M- y 7 5'-2:1r6" <br /> Mailing Address: 1-3-9 a la u,ritys,'h ar City: Oro A-1 <br /> CONTRACTOR'S NAME: till Jf err- (un,..1 Bus. No.: tiwi iy9J <br /> Mailing Address: ¶(ZS'15 Geta City: SI. (3a.v•-rk�oit <br /> Demolition if planned by means of manual disassembly <br /> —7-heavy equipment <br /> Permits Issyed: <br /> #J 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 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 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 knust be abandoned in accordance with State Health Department regulations. <br /> 6. Inspection required when all debris has been removed, before backfilling. <br />