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,�' i��lS��' <br /> . � �� 4 ' ,��o �-� <br /> < �oi ti� <br /> I° <br /> , <br /> + CITY OF ORONO APPLICATION FOR DEMOLITION PER�I�I�T <br /> P.O. Box 66 (2750 Kelley Parlcway) <br /> Crystal Bay, NN 55323 <br /> SPECIAL CONDITIONS & HOLD HARI�ILESS AGREEiVIEN'T <br /> General Instructions <br /> 1. You may be required to obtain other pernlits, i.e. well abandonment, etc. <br /> 2. Work must not begin unless the pernlit card is available on the job site. <br /> 3. A 24 hour notice is required for all inspections. Call (952) 249-4600. <br /> JOB SITE r1DDRESS: 1��7 71-'4- i�iC '1Z�2.i u� <br /> Occupancy Type: �_Residential Commercial <br /> OWNER'SNAME: 1�Zc�.�. /� o_,,.� ��u.�... ���� w, Phone:�Pl2� o� � ���� <br /> MailingAddress:��y� �ark �+ City: D�-��.� u <br /> �u1�1'a'�C'�'O][�'S 1�1AIVI�:y'�I s:1.1�� Ca�I�s ��k s�-�►� Bus.No.: �/2-7v�-�i 7�E, <br /> Mailin�Address:�'p�c%�, � .,�.�� City: ��I a--w �'�r� ti`S 3.�g <br /> Demolition if planned by i7leans of: manual disassembly <br /> �_heavy equipn�ent <br /> Perniits Issued: <br /> # Well Abandonu�ent <br /> In retunl for issuance of said Demolition Pei7nit, the uudersigned o�vner hereby agrees as follows: <br /> 1. The structure(s) shall be kept enclosed aud/or secured until such time as demolition is <br /> complete. <br /> 2. Demolition debris�vill be kept off adjoinin�property and/or the public rights-of-�vay unless <br /> specific prior approval is obtained in writing for temporary use thereof. <br /> �. FCL121G�atio�zs shall be cc�mpletely removed from the ground. <br /> 4. All demolition debris shall be completely disposed of off site iu accordance with all <br /> applieable PCA requirements. <br /> 5. Water wells must be abandoned in accord�nce with State Health Department regulations. <br /> 6. Se�ver and�vater inust be disconilected at the servic�s at the street by qualified contractors. <br /> 7, Inspec�ion required when all debris has been removeci, before backfillin�. <br />