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, �,� <br /> � ' � ��;� ? <br /> CITY OF ORO�'O APPLICATION FOR DEI�IOLITION PER�tiYIT <br /> P.O. Box 66 (2750 Kelley Parkway) ' <br /> Crystal Bay, MN 5�323 <br /> SPECL4L CONDITIONS & HOLD HARi�1LESS AGREEMENT' <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burninJ, well abandonmment, etc. <br /> 2. Work must not be�in 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 /> ,-, <br /> JOB SITE ADDRESS. + �j��:ti; r�r,�� ����.-' �- �� '� '� <br /> Occupancy Type: _�Residential Commercial <br /> � �\. � ^� ,, ..' <br /> Oti�'ER'S NQutiLE• >�' -,���`�_ Phone: �'-��-�, �;J� ,� <br /> , <br /> Mailin� r�ddress: ;.Z_' `� ��,n� '�,:, ` Ciry: m ,�c���, <br /> CONTRACTOR'S NAlI�IE: .� � �_�; � ���tt�. Bus. No.: �-;��2��- �`i'13 <br /> Mailing Address: e����`� r� ��ti ���,,_ ::z,���_� City: -��>>=��,,�_�.�_,, +�=�i <br /> Demolition if planned by means of: manual disassembly <br /> heavy equipment <br /> bumin� (by fire department) <br /> Permits Issued: <br /> # Burnin' 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 writin; 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 re�ulations. <br /> 6. Inspection required when all debris has been removed, before bac�illing. <br />