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<br /> .444,,•-:•••,..?.. ''''.. fir „4,, ,_. • q M_hJt:...la
<br /> PERMIT N� 3'738
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<br /> B-a ,q.,' j .'� ,,,fir
<br /> uiIdl�t ..' Pelt DATE ISSUED T "'is ..:7
<br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY • EXPIRES • •'�:
<br /> • SITE ADDRESS d /� 0 et,..) 'i AA_ r
<br /> = P.O.-BOX'et:CRYSTAL BAY, MN 55323 473.735 / •
<br /> •
<br /> ZONING DISTRICT .
<br /> •�_ %f. • LEGAL DESCRIPTIO�j•PROP.ID.
<br /> ;. / v LOT r360".37�7�S0BLOCK SUBDIVISIO /7:77/•� �i�i�1
<br /> "• ,FIRE ZONE ; ' ,
<br /> •WN R (Name) (Address) (Phone,
<br /> 4 VAR DATE:;. . ♦ P i,�' 00 e i • /..,f'` /.
<br /> ARCH',T/ENG 'EER—Must Certify Multi.Family,Commercial& Industrial ConstructlonPtans
<br /> :COND.USE DATE'- ERT.NO.
<br /> Firn1) (Address) (Phone)
<br /> LOT Ci 40
<br /> '
<br /> / r.4jaMil BUILDER (Firm) (Address) (Phone)
<br /> L 1. � �
<br /> .PROPOSED SETBACKS TYPE OF WORK dap Addition Remodel Renovate '
<br /> L.SIDE
<br /> '. , , :)::.?" _'.a: ' i : EST CONST.VALUATION }c•r .
<br /> • CONST.TYPE BLDG.SIZE
<br /> LAKE WETLANDS ' ' . y
<br /> W3/ Fit„//)
<br /> :ACCESS RESIDENTIA I STORIES 0 1 3 - PERMIT Ff,,gS ,
<br /> • T. �.._'.:. - BLDG.PERMIT • 7:Q.C'"•
<br /> �t ''EXISTING DWELL. / BDRMS/F •tit
<br /> .;A ••APPROV.DATE UNITS / STATE FEE 62.5:.D 0 '
<br /> f..41,01.41‘.4.04;•:--j• ,. :r''.- GAR.STALLS APPTIc PLAN REVIEW..• "
<br /> } : J APP,DATE 1 vet-L/4/y-,..?/
<br /> COUNTY' `' '
<br /> DOCK �
<br /> ,, y i+,•.:-,.x__.f•, . :. PARK FEE 3da
<br /> P.D O
<br /> NON•RESID, PROPOSED USE
<br /> STATE '<.. SAC CHARGE / 1.'0'0.. ,:
<br /> • xPR::EASEMENT., occ.
<br /> fir .r11 ' � .. CLASS.
<br /> ti,,. STORIES COUNCIL TOTAL DUE , I31 "��
<br /> `i {,' :41::?:?ii APP.DATE •
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<br /> •
<br /> t•MRMARKS .;".;.. t EvvaC( AYu Lo y` 3�
<br /> • �U eU. . .
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<br /> t INSPECTIIDNREQUIRED WORK REQUIRING ACKNOWLEDGEMENT
<br /> �ct; � Y ,,; .',.-:'.,' SEPARATE PERMITS
<br /> • k ° FOOTING beforepour '.• THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
<br /> a'' 'FRAMING rough-in:
<br /> :
<br /> '''�'' ''';� �INSULATION'' •' PLUMBING THE REAL IMPROVEMENTS .SPECIFIED.,'AND DECLARES
<br /> ...;;;76 ". '`''.111p4LLBOARDBeforeTaping MECHANICAL _ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT-
<br /> i •f' ' WELL ANCE OF ALL INFORMATION, CONOITI' S AND REQUIRE-
<br /> . :.'".' : .':FiN ALbef Orioccrlp'rlCv'•
<br /> 't wil n x2vt.4. . .. y ;i.::...:.. .. ..6.,,».., SEPTIC MENTS REPRESENTED ON THIS DOCUMENT..THE UNDER-
<br /> }e lriRK INePE OR WITHOUT A RE- SEWER SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM-
<br /> r' ACUIRED'INE!ECTION WILL BE SUB- WATER
<br /> JECT'TO PENALTY PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
<br /> GRADING&FILLING
<br /> `:;INSPECTION HOURS'.'473-7367 OF MINNESOTA BUILDING CODE REQUIREMENTS. .
<br /> o"'CALL S;12 A.M.INSP.1-4 P.M.
<br /> r. t•CALL 1.• 4 P.M.INSP.NEXT DAY ELECTRICAL from Scale .
<br /> a -.
<br /> Signature • Date•
<br /> „ COPY WHITE-FIt4E GREEN—FINANCE / �
<br /> ti a^ CANARY-INSPECTOR' ' GOLD-RECEIPT / /I
<br /> 4 ��: MNK'=ASSESSOR Approved w/ �� City of Orono ':
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