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Aug-07-2000 02:OOpm From-CITY OF ORONO +9522494616 T-286 P.002/012 F-667 <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 hour notice is required for all inspections. Call (612)249-4600. <br /> JOB SITE ADDRESS: C-Vdj ®18-. Lt - <br /> Occupancy Type: Residential Commercial y <br /> OWNER'S NAME: (OptAl k Phone:95a x-173' 7479 <br /> Mailing Address: q0,0 (t& Lnn y _�' _ City: �a. reo,4-Ct- <br /> Ss - a,1a1� <br /> 63-.,CON TRACTOR'S NAME: � L, Cbn V (?, L�;n6 Bus. No.: "?t, t o%-Mailing Address: 11 Lk.. .11 r_ Q t`• City: <br /> fin. S539O <br /> Demolition if planned by means of: manual disassembly <br /> heavy equipment <br /> Permits Issued: <br /> # Well Abandonment <br /> 14-0 1tc34rbl0 <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 must be abandoned in accordance with State Health Department regulations. <br /> 6. Inspection required when all debris has been removed, before backfilling. <br /> Lwrr-( Carl so/k u 7i - ( <br />