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Feb-06-2003 09:41em Fram-CITY OF ORONO +9572494616 T-891 p.00�/011 F-301 <br /> C�Ty pF ORONO APPLYCATIOl�i FOR DEMULITION PER�T <br /> P.O. 8ox 66 (2750�F11ey Parkws3r) <br /> Crys�lBaye MN 55323 <br /> SPEC��L CdNAT�I4NS &�TOLA�ARMLESS ACREEMENT <br /> GeneraL Instructioas � <br /> �, Yau may be r�quired to obtain�otl�er permits, �.e.wel�e�bendotu�ament,cta. <br /> 2, Work must r�c�t beginunloss tbe p�it card is av�ilabl.e on tl�e,job site. <br /> 3. A 24 hoiar noticc is rtqvited fo afl inspections. C��l(61 249-�60�. <br /> �����' �c <br /> dOE 3Y?E AnDRESS: .. S� � '�-4+Sdh/ <br /> Occupaacy�p�: _ C�,Aesiderftial Cqmiaercial <br /> OW1�ER'S NA1viE;_ o� � ' �O N I^EIC����h Phone: 7G 3- b^u`~�-/GS� <br /> Mailing Address:� .�5 5 9 v City; �d <br /> CONTR.r�CTOR'SNAME• � � f? 4S� ���ucs.No.: S - yGl� -�S'�i.S`.3 <br /> Ivlailin�Address: 3Sa ' City: v"s 3a z <br /> Demolition if pl$nn�d by mea�ns of: m�ual,disassembly <br /> �k��vy eq,ui,pmcnt <br /> Permits Issued: <br /> # 'We11 Abandonm�t . <br /> In re�.um for issuane�af said Dem4lition Permit,the ustdersig�ed owuer het�eby agrecs as follows; <br /> 1. 3'I�e stiv.ctur�(s� shall be kept e�c�oscd an.dloz s�cured until sueh tizr�e as demolition is <br /> complete. <br /> �. I]emolition debsis wx�1 be kept offadjoining properiy and/or the public�zghts-of way ualess <br /> s�ecific prior approval is obtaiae�in Writing for temporary ts5e�ereo� <br /> 3. Foundations shall be�om,pletcly xe�oved from tho greu�d. <br /> 4. A).1 demolition d.ebris shall b� eompletely disposed o� o�f sice in aceot�darice with all <br /> applicable PCA requirer�ents. <br /> 5. Water wells must he abandoned in accordancc wiih State TrIealr�Departme�t xegulanons. <br /> 6. Irsspection rwquired whea ali debris has b�e�,removed,befoxe b�.ckfilling. <br /> � <br />