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, 4 1 <br /> ( <br /> 4. Submit a$2,500 escrow and an escrow agreement signed by the property owner(copy attached). <br /> 5. Keep all structure(s)enclosed and/or secured until such time as demolition is complete. <br /> 6. Keep all demolition debris off adjoining property and/or the public rights-of way unless specific prior <br /> approval is obtained in writing for temporary use thereof. <br /> 7. Completely remove foundation(s)from the ground. <br /> 8. Completely dispose of all demolition debris off site in accordance with all applicable PCA requirements. <br /> 9. Abandon water wells in accordance with State Health Department regulations. <br /> 10. Call for an inspection when all debris has been removed,before backfilling. <br /> 11. Within 3 working days of superstructure removal,a final Inspection shall be requested. The site shall be <br /> left dean and dear of all debris, with any excavation filled with earth level with the adjacent ground <br /> elevation(except when such excavation is to be used as part of a new building and such new building is <br /> actually under construction). <br /> 12. Abandon septic systems per Minnesota Rules Chapter 7080. All septic tanks must be pumped,crushed <br /> and filled with native soils. An inspection is required after the tanks are pumped and before the tanks are <br /> crushed and filled. <br /> 13. The undersigned owner shall and hereby does Indemnify and hold harmless the City of Orono,its agents, <br /> employees and assigns from and against an claims, damages, losses or expenses, including attorney <br /> fees, against the City, Its agents, employees and assigns arising out of or resulting from the demolition <br /> described herein as performed by the property owner,his employees,agents,subcontractors or assigns. <br /> PERMIT TYPE AND FEE CALCULATION c <br /> $ S <br /> 75.00-Principal Structure $ 1 r <br /> 0 $50.00-Accessory Structure x 0 (how many) <br /> 1. Subtotal of above permit requested $ ` S 0 t) <br /> 2. State Surcharge 1.00 <br /> 3. TOTAL PERMIT FEE (add fines 1.2 above) $ 7 6 t 0 <br /> The undersigned herby applies to the City of Orono for issuance of a Demolition Permit, agrees to do <br /> all the work In a strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota,and certifies that all statements made on this application are complete,true and correct. <br /> t '; C 1 <br /> Applicant's Signature: , . Date: <br /> Owner's Signature: � rl 1:G41117 Date: 3//8 /16 <br /> Approved By: Date: <br /> (Building Official) <br /> ifebtO* <br /> Zoning Disclosure Required? [] YES ' NO retel,r4V �t&° <br /> 'This must be filled out by Zoning Department-For altfie nswer,a ning Official must sign all applications. <br /> *Approved gy: 144441(. PPM Date: 05 <br /> 1-6 16 <br /> (Zoning Official) <br /> Form Leal Updated: July 201$ <br /> 1 fMiA <br /> • <br />