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CITYoTOKOXO <br />Building Permit PERMIT XV 54111 <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66, CRYSTAL BAY. MN 55323 473 7357 <br />SITfc ADUHESS_____.7 1 <br />LEGAL DESCRIPTION PROP ID J C' ~ P Y 7 <br />LOT__________________BLOCK ______SUBDIVISION <br />DATE ISSUED ^ H-V.W <br />EXPIRES _____________ <br />ZONING DISTRICT <br />c.r.!<- <br />FIRE ZONE <br />VAR DATE <br />COND USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSEDSETBACKS <br />FRONT RSIDE <br />__kii___ ro' <br />REAR L SIDE <br />lake WETLANDS <br />Ul^ <br />ACCESS <br />NEW I <br />AGENCY AP <br />^ExisriNft.^ <br />Pnoir D ate <br />CITY <br />, C^*<-*~* <br />COUNTY <br />A-f /iJ <br />STATE <br />TfR E AS! me NT <br />REMARKS f\( /1 /vV <br /><r»r>*ir£. <br />DWNER (N*me) <br />n CA rf^tc ^ f <br />(Addf.fssl <br />Aiuhi <br />(PhonelVT/ VWt <br />U c&nf^ A- A J <br />ARCHITECT/E NGINE E R Must Certify Multi Family, Commercifl A fnflustnji Construction Pijni <br />:ertno ___ <br />(FirmI (Arktreu)(?hon€> <br />BUILDER (Firm)(AddressI (Phont) <br />^ C« fc. FF.0 7-e^lL<i 1 <br />TYPE OF WORK C N^ <br />(.o L <br />^Attdition RemockrI <br />0 7 <br />Renovatf <br />vt: '> { <br />CONST TYPt Hi IKi Sl/t <br />3T L <br />Hi wDi N MAC <br />H-3__ <br />r>v\fiL E <br />UNI J[^ <br />(.AM STAI lS <br />p\T T ? <br />nil <br />NON «rs*o <br />[>cc: <br />l A&& <br />!pTOHI€S <br />SToMMi, B <br />BUMMS ^ L« <br />Sf PTIC <br />APP OAtf <br />( M u ► <br />PMOPOMO uSi <br />COtiNCiL <br />Apr OAT I <br />T‘iT CONST valuation <br />5 1 (J <br />PERMIT FEES <br />s oBLDG PERMIT <br />STATE FEE <br />PLAN REVIEW <br />PENALTY <br />PARK FEE <br />SAC CHARGE <br />3 7.A 7% <br />cle <br />TOTAL DUE <br />yf _ <br />I Ad ___/*/ ___o <br />, /-X _____________ <br />INSPECTION REQUIRFD «¥ORK REQUIRING <br />K roOTtNOM*m«pM«SEPARATE PERMITS <br />^ imiUiATlOil PtUMBINO <br />WALLBOAIIO Tip.«^MfCHANKAi ^ <br />--- fC ^ iNAt WrfLi <br />f90mn if voND OP without a iu <br />SfPTiC _ <br />lC ................. <br />QAjm^O iNtPiCTlON BMit if tU#MATffl.N _ <br />JICT TOffNAitY <br />iN«ri( TKim Huumt «/j rjBt <br />CAii • A W liiBB 1 4 PM <br />i*mAomn0 i r li i fifO........ <br />C Ai it 4PM IMP Ni ■ T UA V tiiCTAHAi Not Sam <br />ACKNnWLE CX*E ME NT <br />TMf uNOf Wl4<»NtD H««lf BV WfOOffTf Pf ll«BBBiOA|TO«Arri <br />TMI HIAl IBIP«K>VIMII|T& MC»#l€0 Amo OfCtMft <br />UHDfm PtRlAiTY OP lAO ACJlNOttLiDGilitNt <br />ANCf Of All tAifomiATioAi comofTom aabi <br />•PfNTt MfPfIfStmffO Oil TM« OOCUAWNT Ti4i umOfA <br />SiljMD fUMtHiO AOflBtt TO OO AAi «OflA« CQO» <br />PilANTi IftTH Aik Cr?Y Of QiK»0 oro%AmCtE AfiO jt A?I <br />COP»APHift flil <br />CAmAAY liuBtc f%ym <br />flAMK AmiAOtl <br />UMtfil IMBANCI <br />0<H0 iifctirt