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Aua-O7-2003 09:47am From-CITY OF ORONO +9622494616 T-951 P.002 F-349 <br /> . �. <br /> CITY OF 0�20N0 APPLICATION FO�DEMOLYTION pERMI'T' <br /> P.O. Box 66 (2750 K:elley Parkway) <br /> Crystal Bay, MN 55323 �� � � � � - �' �'1 - I �J�� <br /> C <br /> SPECI:A� CONDITIONS & �TOLn �-TAR�'�1LESS A.GR��MENT <br /> General Ynstructions <br /> 1. You may be required to obtain other permits, i.e. we11 abandonmment, etc. <br /> 2. Work must not be�in unless th� permit card is available on the job site. <br /> 3. A 24 hour notice is required for al1 inspections. Cal1 (612) 249-�600. <br /> JOB SZTE ADDRESS: ����`� r�JL� ���i�.ZK'�"; ���I'1(} �� <br /> Occupanc� Type: _�_�2esidencial Commercial <br /> OWNE�R'SNAI�IE:_ !Yl �� � Phone: �v/� -o��D '� ��7 <br /> Mailin�Address: / -L,� City: ,/f(J p . <br /> CONTR.4CTOR'S i�AME: � f Bus.No.: 7�o3-oZ(r�,.�-- ' �� <br /> 1vlailing Address;� ' J Ciry: — Q J <br /> Demolition if planned by means of: ma.nual disassembl� � , <br /> �� heavy equipment - m(Il/`'lf�� 1��1i� <br /> Fermits Issue : ` ��0 " ��r??1L�,�-.-��U1U1�'�Z�/"}')L'�i� <br /> # Vell Abandonment -� `� �e, ,1,�,�j(� ��,� �'��6'� <br /> ,C�C�I� <br /> In return for issuance: of said Demolition Permit, the undersigned owner hereby agrees as follo�vs: <br /> 1. The structure(s) sha11 be kept enclosed andlor secured until such time as demolition is <br /> complete. <br /> ?. Demolition debris will be kept off adj oining property andlor 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 demolitic�n debris shall be completely disposed of off site in accordance with all <br /> applicable PC;A requirements. <br /> 5. Water wells tnust be abandoned in a�cordance �vith State �iealth Department regulations. <br /> 6. Inspection required when all debris has been removed, before backfilling. <br /> T <br />