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CITY OF ORONO TS 6124730510 08/28/98 14:13 5 :02/12 NO:689 <br /> 1 <br /> CITY OF ORON APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (275 Kelley Parkway) <br /> Crystal Bay, MN 5323 <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> General Instructsns <br /> 1. You may b 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 otice is required for all inspections. Call 473-7357. <br /> JOB SITE ADDRESS: 2-3 0 0 O(((12- 4t/E-5-- - 0/10 tJ 0 <br /> Occupancy Type: r% Residential Commercial <br /> OWNER'S NAN hJ i w\ :�a_I o d 2 c vt S k_c Phone: <br /> Ln(- 0i 3 <br /> Mailing Address:_ 23( C p t,u '1--t/e ( 0;2-0� `_ " City: 0204 o <br /> CONTRACTOR' NAME: S/04(-- - O Lel-- _i Bus. No.: 6 5 2(2_3* <br /> Mailing Address: 3''7C 140t-2-t-( woo f!/ ..- City: t\-)-(2 <br /> 6 <br /> Demolition if planned by means of: manual disassembly <br /> rs heavy equipment <br /> burning (by fire department) <br /> — <br /> Permits Issued: <br /> # Burning Fire Department <br /> # \{ell Abandonment <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as <br /> follows: <br /> 1. The structures) shall be kept enclosed and/or secured until such time as demolition is <br /> complete. <br /> 2. Demolitioi 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. Foundatio;Ls shall be completely removed from the ground. <br /> 4. All demollition debris shall be completely disposed of off site in accordance with all <br /> applicable PCA requirements. <br /> 5. Water weds must be abandoned in accordance with State Health Department regulations. <br /> 6. Inspectior4 required when all debris has been removed, before backfilling. <br />