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I <br />r.A ► Y ur q►nq►.*%i► <br />Buildin Permit <br />PERMIT N° _ 51101 <br />DATE ISSUEDrs—._ <br />AND APPLICATION FOR LERTIFICATE OF OCCUPANCY EXPIRES — <br />P.O. BOX 66• CRYSTAL BAY. MN 55323 4737357 � � 11 <br />ZONING DISTRICT <br />L -c, <br />FIRE ZONE <br />In <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />R51"IJ "T R.SIDE <br />�°v �? 3 <br />REAR L.SIDE <br />Sr <br />LAKE WETLANDS <br />Sn, <br />ACC <br />t;E!': EXISTI%G <br />A NCY APPROV. DATE <br />ITY J _ <br />COUNTY <br />STATE <br />PR. EASEMENT <br />REMARKS: <br />SPIE ADDRI.SS--- ✓f�S-C� Crrr,er., .Jit — <br />LLGAL DESCRIPTION: PROP. 10. met Ac _°G' -H -L 23 12 die*—'7 ,�v &42 <br />LOT —BLOCK _— __— SUBDIVISION <br />)WNER (Name) {Address) •� (Phone) '/ <br />% a.011 id T. %r lr,.,n.. ,C7 in.....T., q7/- k717i <br />AHCHITECT'ENGINEER Must Certify Multi -Family, Commercial & Industrial Construction Plans <br />,ERT.NO. <br />IFlrm) (Address) (Phone) <br />BUILDER (Firm) <br />'Address) <br />(Phone) <br />TYPE OF WORK New Addison <br />Remodel Renovate <br />11,Ef.HANir <br />AL - <br />WELL __ <br />CO'aST TYPE <br />P.LDG S17E <br />EST C9NST. VALUATION <br />SEWER <br />WATER <br />i.l Ll Ulill, t. <br />1 IL I,IN(i <br />SIE S!DEVt a•;, <br />570"IFS H 2 i <br />PERMIT FEES <br />00 <br />BLDG. PERMIT 1jQ:; — <br />OV- IL, LHDRMS <br />FLR <br />Cir <br />4s' <br />UNIIS <br />STATE FEE <br />�^ <br />PLAN REVIEW &/ <br />e4�• :,TALL�l <br />TTi „ <br />SEPTIC <br />APP DATE <br />f n a= <br />'ET <br />Tf r <br />77f.[ <br />r <br />PARK FEE � a✓ 1.-I. n .414 <br />1U'. rFSID <br />PROPOSED USE <br />d <br />SAC CHARGE 4,2 S� <br />OCC <br />CLASS <br />STORIES <br />COUNCIL <br />APP DATE <br />�. <br />TOTAL DUE /.c^ <br />INSPECTION REQUIRED <br />-,__yam"FRirti.INO ouih •i <br />INSULA'ION <br />�_._ '� WALLROARO Benne T-rw•r•I <br />F INAL befo:c ouuPonri <br />WORK BEYOND OR WITHOUT A RE <br />OUIRED INSPECTION WILL HE SUR <br />JECT TOPF.NALTY <br />INSPECTION HUUHb, 41.; <br />CALL R 1.' A M IN'& 1 4 1" <br />CAL 1. I 4 I'M INS'' :I. XT OA <br />WORK REQUIRING <br />SEPARATE PERMITS <br />F LI C11+If.AI. I• -n- <br />COPY <br />m <br />COPY WHITE: FILE GIIFEN I INANCF. <br />CANARY INSPt C FOFI W 0 0 HI CLIPI <br />PINK ASSFSS014 <br />ACKNOWLEDGEMENT <br />THF UNUFRS:..• ) HF:Rt HY RF01IFSTSPERMI•iSIONTOY <br />THE REAL iVc.rNTS SPECIFIED. AND DECLI <br />UNDER PEND.:.. F LAVI ACKNOWLEOGEMFNT AND ACC <br />ANr,F OF A+ I r�RMATION. CONDITIONS AND REOL <br />MENTS REPI.ESrNT"-D ON THIS DOCUMENT THE UNC <br />SIGNED FUR7 :`P - -PEES TO DO ALL WORKS W STRICT I <br />114 IANr.F VIM: ..' r+T: VF 014nNO ORDINANCES AND S' <br />OF MINNE£')', - ^'C!C CODE REQUIREMENTS <br />t � <br />APPnumvi r' c r. � � � •^, of: <br />11,Ef.HANir <br />AL - <br />WELL __ <br />SEPTIC—_ <br />_ <br />SEWER <br />WATER <br />i.l Ll Ulill, t. <br />1 IL I,IN(i <br />F LI C11+If.AI. I• -n- <br />COPY <br />m <br />COPY WHITE: FILE GIIFEN I INANCF. <br />CANARY INSPt C FOFI W 0 0 HI CLIPI <br />PINK ASSFSS014 <br />ACKNOWLEDGEMENT <br />THF UNUFRS:..• ) HF:Rt HY RF01IFSTSPERMI•iSIONTOY <br />THE REAL iVc.rNTS SPECIFIED. AND DECLI <br />UNDER PEND.:.. F LAVI ACKNOWLEOGEMFNT AND ACC <br />ANr,F OF A+ I r�RMATION. CONDITIONS AND REOL <br />MENTS REPI.ESrNT"-D ON THIS DOCUMENT THE UNC <br />SIGNED FUR7 :`P - -PEES TO DO ALL WORKS W STRICT I <br />114 IANr.F VIM: ..' r+T: VF 014nNO ORDINANCES AND S' <br />OF MINNE£')', - ^'C!C CODE REQUIREMENTS <br />t � <br />APPnumvi r' c r. � � � •^, of: <br />