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� <br /> . . � - <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERNIIT <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 cazd 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: f� 2 3 /��;7� �-�' <br /> Occupancy Type: Residential Commercial <br /> OWNER'SNAME• �,/�,I��P�x,� 77`��,���-t.l� Phone: /-S Z"' 77z " �12� <br /> ��z�-� <br /> Mailing Address: City: <br /> ► � - ��'2-�C���z �'� <br /> CONTRACTOR S NAME: � � Bus.No.: <br /> MailingAddress: D � 27� City: ;,�� <br /> Demolition if planned by means of: manual disassembly � ��'`'D` �. <br /> �heavy equipment 7'120� <br /> Permits Issued: <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit,the undersigned owner hereby agrees as follo�vs: <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 adj oining 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 />