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fCITYof <br />^fBuilding Pennit <br />* •hi <br />-'i AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />j^fp,0. BOX 66. CRYSTAL BAY. MN 55323 473-7357 <br />PERMIT NO. 6318' <br />i*7DATE ISSUED <br />jt <br />«4' 1 <br />t.-: <br />r.. <br />i <br />X-;s*r <br />ZONING DISTRICT <br />L*K I'B. <br />FIRE OERT*ENT <br />ROST OFFICE <br />VAR. DATE <br />lOTARfA ■. -.v-^ <br />' 'fii <br />/MOPOSEO SETBACKS <br />R SIDti <br />REAR L SIDE I <br />CAKE WETLANDS <br />jMo: <br />ACCESS <br />NEW <br />AOCNCV^ <br />XISTII <br />atY <br />COUNTY <br />STATE <br />PRIVATE EASEMENT <br />^40^/Site ADPRgSS ______________________________ <br />PROPERTY IDENTIFICATION NO IPIOI O'? ^ ^ <br />lot______________BLOCK__________________ SUBDIVISION--------------------------- <br />K%. <br />ARCHITE^/ENOINF.ER -Mutt C#fl4^uM»-FGmilv. Commercail A lot <br />(Phone) <br />hr- >/7ji ^ <br />• - ’ t (FIffW) i* <br />S' • *‘‘7'■Jv.-'-l <r7'H'!•.T T V , *»7x* ,‘«Ty h* f 14 ' ^ ^ <br />uMI*FemilY. Commeroel A Industrial Construction Plans <br />(Ad^fetfi f. \ (Phone) <br />BUILDER |Finn»lAdd'siti iPhonm <br />TYPE OF WORK <br />CONST. TYPE <br />Addition <br />V----- <br />BUILDING SIZE <br />L. 3 ^ W -2^ <br />OCCUPANCY <br />CLASSIFICATION <br />DWELL <br />UNITS <br />OAR. STALLS <br />ATT. <br />DET. <br />STORIES B 1 <br />NUMBER OF BEDROOMS <br />SEPTIC <br />APP date <br />PROPOSED USE <br />COUNCIL <br />APP DATE <br />at 4JtnjiS^ ^ <br />Estimated Construction Valuation <br />PERMIT FEES <br />BLOa PERMIT ^(ff ‘^0- <br />STATE FEE <br />PLAN REVIEW <br />SAC CHARGE <br />SEWER UNIT <br />3 ^£> <br />PARK FEE <br />penalty <br />other <br />TOTAL DUE 3^,^ <br />7v^^5liSMmfilJSS-D£SiGfiiSJCO-CiI^ <br />“>* BEFORE FRAMING INSPECTION <br />• a' <br />! <br />r <br />r ^ <br />f'. <br />A * <br />I- <br />' • <br />I <br />INSPCCnON REQUIRED <br />□ . . U . . FOOTINQ M«or* OM <br />O ...... FRAMINO <br />□ .^.... INSULATION <br />□ .. . • . WAILSOAHO bMo>« IMMQ <br />D..'... final bata* <br />□ sni MSPEcnoN <br />OUMBO INSPECTION VWU BE SUB­ <br />JECT TO FENALTY. <br />MSFECnONS MUST BE CALLEO-IN <br />t« NOUNS IN ADVANCE. <br />COPY WNITI Wit <br />CANAMT4NSPCCT0N <br />WOKK REOUIPINQ <br />SEPARATE PERMITS <br />FLUM0INQ..........................□ <br />MECHANICAL ......................□ <br />WELL....................................□ <br />8CFTIC.................................□ <br />•EWER...................................□ <br />WATER....................................□ <br />CMUOINQAFfUtNa................ □ <br />nut....................................□ <br />ACKNOWLEDGEMENT <br />THE UNOERSM3HLO HEPFBV REQOCSTS PERMISSION TO MAKE <br />THE REAL ■MPNOVEMENTS SREOriEO AND DECLARES <br />UNDER PENALTY OF LAW ACKNOWIEDOEUENT AND ACCEPT­ <br />ANCE OF ALL information conditions AND REQUIRE­ <br />MENTS represented on this document the under - <br />8IONEO further AQREES TO DO ALL WORK IN STRICT COM- <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />OF MINNESOTA REMENTS <br />iL OMtCN-FHHANCe <br />OOtDFtCClFT <br />.ae.iaie»MUi <br />i:' <br />,C«W oi 0»c*«o % .