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^ SiTZ r^a: <br />j I *c ^ -.‘^ .. •• ' — **^ • K - <br />ii- <br />I: <br />fcnr«^^ <br />IfBuilding Permit <br />"^^^ANO APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUE <br />^Ton onv M CRYSTAL BAY. MN 55323 473*7357 <br />un^l AJ.:SV\nr<^jy^ <br />permit NO. 6318' <br />4:4il7 <br />P.O. BOX 66. CRYSTAL BAY. MN 55323 <br />SITE ADDRESS <br />ITp) <br />i <br />ZONING DISTRICT <br />fR I <br />mcoiPA^i <br />»m«A <br />fCSTOmCC <br />•siffsimmmm <br />asBOP*'I .5 <br />MOROSEO SETBACKS: <br />8ZI' <br />REAR USIDE,.»s' <br />LAKE wetlands <br />m <br />ACCESS <br /><Z»ISTTNjl> <br />arrhcv . u*irAOENCY* <br />OTY <br />COUNTY <br />BTATK <br />RRtVATE EASEMENT <br />:::iA°r,oU;c...oN.o.,P.D, <br />lot____________BLOCK_______________SUBDIVISION___________ <br />(AddfwJ^ . Rhone) <br />I » <br />*, IRtwI <br />'i (‘r • •..•« • <br />BUILDER ..(fifml (AddrGfltI <br />/A.'/fi, <br />(PhOHGl <br />TYPE Of WORK Addition * Ramodnl Rnn(M'ate <br />DWELL <br />UNITS <br />OAR stalls <br />AH. <br />DET. <br />STORIES B 1 <br />number of bedrooms <br />SEPTIC <br />APP DATE <br />PROPOSED USE <br />COUNCIL <br />APP DATE <br />^ ■UauU. <br />Estimated Conilructioo Valuatiofi <br />permit FEES <br />BLDa PERMIT ---- <br />:P <br />STATE FEE <br />PLAN REVIEW <br />SAC CHARGE <br />SEWER UNIT <br />PARK FEE <br />penalty <br />OTHER <br />total due <br />5_A^^~ <br />S?.irD <br />rv^tdL <br />Cl inuiT TPI Igg nFcir.M<5 to cldl <br />BETOWE FRAMING INSPECTION <br />mSPfCTlON RCOUIREO <br />O.. .V.. FOOT1NO MMte POW <br />□ ....» ♦FIIAMINOromnw <br />□ .'.....mSUlATION <br />□ .. ...WALLBOARObttaxi <br />□ FINAL SMW <br />. ...... SiTtINSPCCnON <br />WORK BfVONO OR WITHOUT A RE- <br />OUtREO INSPECTION WILL BE SUB­ <br />JECT TO PENALTY. <br />•nspectionb must be CAUEO-IN <br />SM HOURS IN ADVANCE. <br />COPY HMlTt FILt <br />WORK REQUIRING <br />SEPARATE PERMITS <br />etUMBINO....................................□ <br />MCCHANlCAC. .•••••»••••••••••... o <br />WILL...................................,...□ <br />.............................................................□ <br />StWER...........................................□ <br />.............................................................□ <br />•MB <br />OPAOtNQ a FIUINO....................□ <br />rtPi.....................................□ <br />ACKNOWLEDGEMENT <br />ImE UNOCRSKlNtO MEKFBV REQUESTS PERMISSION TO MFHE <br />THE REAL IMPROVEMENTS SPECIFIED AND DECLARES <br />UNDER PCNAlTV OF LAIN ACKNOWlEDOEMENT AND ACCEPT­ <br />ANCE OF AIL INFORMATION CONDITIONS AND REQUIRE­ <br />MENTS REPRESENTED ON THIS DOCUMENT THE UNDER- <br />•lONED further agrees TO DO ALL WORK IN STRICT COM­ <br />PLIANCE WITM ALL CITV OF ORONO ORDINANCES AND STATE <br />OF Minn ESOTP^UI^NO code RETIREMENTS <br />OOLORECEIPT <br />'•V. <br />IN •'■.-■ .