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Ci <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. burning, 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 473-7357. <br /> 8q - <br /> JOB SITE ADDRESS: - ' bIck L-cx,�� <br /> Occupancy Type: Residential Commercial <br /> OWNER'S NAME: $ U CE- bit-TrA) Phone: q73- 331Y- <br /> Mailing <br /> 73-- 0 31 Y- <br /> Mailing Address: - *0 L01VG M" RA. City: \ J ,c k <br /> 1 <br /> CONTRACTOR'S NAME: CL. Lc> -ra�1 ,.,5 I v, Bus. No.: 4-I?, - 95 a-0\ <br /> Mailing Address: 4> 011 to br. City: Meeh, <br /> Demolition if planned by means of: manual disassembly <br /> heavy equipment <br /> burning (by fire department) <br /> Permits Issued: <br /> # Burning Fire Department <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as <br /> 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 <br /> unless 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 />