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<br /> f,•,=, CI�l Y t) ORON�� PERMIT ivy: _ 5348 i
<br /> Building Permit —//--2 /
<br /> DATE ISSUED
<br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES - I
<br /> P.O. BOX 66, CRYSTAL BAY, MN 55323
<br /> E3ADDRESS 473-7357 /94 tl
<br /> ZONING DISTRICT SITE �' i �� O
<br /> �/►- ` .9 LEGAL DESCRIPTION: PROP. ID.
<br /> - LOT L_--BLOCK _-.____/ __.____SUBDIVISION__ '!1_O2... _ f
<br /> FIRE ZONE
<br /> OWR / / i4 /.
<br /> ppme) /(Address)) I . L • • /,(Phone))VAR. DATE C/(6 t- ) /69c ,56 /(. ,-n it V76-17
<br /> ARCHITECT/ENGINEER - Must Certify Multi•Family,Commercial & Industrial Construction Plans
<br /> COND. USE DATE CERT.NO,
<br /> (Firm) (Address) (Phone)
<br /> LOT AREA �y C_U' ) (
<br /> WIDTH DEPTH BUILDER (Fir 1 (Address) (Phone)
<br /> -n,p • 474 9 t yto - ;
<br /> I` . _- a
<br /> PROPOSED SETBACKS
<br /> • FR R.SID„�f TYPE OF WORK •C New Addition Remodel Renovate ,
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<br /> REAR J. L.SIDE i
<br /> -..d,L -Ii�J�
<br />. /� ..sn• c2 CONST TYPE I BLDG SIZE EST CONST VALUATION
<br /> LAKE WETLANDS ! �t
<br /> . j 1p .S7.›. ('TL- t :1
<br /> 1 ACCESSRESIDENTIAL STORIES B I :) .1 PERMIT FEES, cry -
<br /> / BLDG.PERMIT ' 4.7 ,q�.
<br /> lit, EXISTING INV 1 L I BDREIS FIR / /
<br /> AGENCY-APPROV. DATE UNITS STATE FEE (• ,n/(
<br /> CITY -- GAR STALLS SEPTIC P. AaaNnnRE IEW &C/4.7/ Cr�
<br /> r—__ Art APP DATE I I'CNl1. C y‘va..A.• Ve Y•7'• Gam\
<br /> COUNTY nt T — -
<br /> f)OCK
<br /> --' Nov IIESn> PROPOSE()MST
<br /> PARK FEE k fS-et�_ -
<br /> STATE // S--
<br /> ' ' '--- SAC CHARGE 7`
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<br /> PR. �ASEh1E �_
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<br /> Cl ASS _
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<br /> APP DAT( TOTAL D �, 'f
<br /> _14
<br /> REMARKS
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<br /> INSPECTION REQUIRED WORK REQUIRING ACKNOWLEDGEMENT
<br /> '” SEPARATE PERMITS
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