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CITS' of t)ItON <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66. CRYSTAL BAY, MN 55323 473-7357 <br />ZONING ICT <br />i fi <br />TIRE DEPAELT14ENP <br />r <br />POST OFFICE <br />VAR DATE <br />COND USE Dj <br />LOT AREA tic <br />WIDT DEPTH . <br />p 'f <br />PROPOSED SETBACKS <br />FROt R SIDE Qi1� I <br />RE& i L SIDE //0 <br />LAKE ^ <br />LAKE WETLANDS <br />ACCESS <br />W (STI <br />A�'i'ENCY APP ATE <br />CIT Y <br />COUNTY <br />STATE <br />PRIVATE EASEMENT <br />REMARKS <br />SITE ADDRESS '—l-;A(iL/ <br />PROPERTY IDENTIFICATION NO (PIDI <br />LOT BLOCK <br />OWNER (Name) <br />r 1_ A- i <br />rARCHITECT&NGINEER Must <br />IFirml <br />PERMIT NO. 6079 <br />DATE ISSUED <br />SUBDIVISION <br />IAddressl (Phone) a-79 <br />Multi -Family. Commercial & Industrfdl Construction <br />IAddressl (Phone) <br />B LDE IFJrm1 I sl Whonel <br />U Li <br />TYPE OF WORK /*ITeJ Addition Remodel Renovate <br />CON <br />ST TYPE BUILDING SIZE <br />L W 0 i Ht <br />OCCUPANCY <br />CLASSIFICATION <br />DWELL STORIES B t 2 3 <br />UNITS <br />G"TALLS NUMBER OF BEDROOMS <br />DET SEPTIC <br />APP DATE <br />PROPOSED USE <br />j&,�52 <br />COUNCIL <br />APO DATE <br />INSPECTION REOUIRED <br />WORK REOUIRING <br />/ <br />SEPARATE PERMITS <br />FOOTING before pour <br />l—/ FRAMING rough -in <br />PLUMBING <br />k1 INSULATION <br />MECHANICAL <br />WALLBOARD Galore taping <br />WELL <br />......FINAL before occupancy <br />❑ ...... SITE INSPECTION <br />SEPTIC <br />WORK BEYOND OR WITHOUT A RE- <br />SEWER <br />OUIRED INSPECTION WILL BE SUB. <br />JECT TO PENALTY <br />WATER <br />INSPECTIONS MUST BE CALLED IN <br />GRADING FILLING <br />8 <br />24 HOURS IN ADVANCE <br />FIRE <br />COPY WHITE FILE GREEN FINANCE <br />CANARY INSPECTOR GOLD -RECEIPT <br />PINK ASSESSOR <br />areaurn rrq • Aa co r� wl n en «ro <br />Estimated Construction Valuation <br />/5O i07i'D <br />PERMIT FEEES� <br />BLDG. PERMIT `55$•.ja? <br />STATE FEE 7SX7 <br />PLAN REVIEW t11r' Y" <br />SAC CHARGE <br />SEWER UNIT <br />PARK FEE <br />PENALTY <br />OTHER <br />TOTAL DUE / q,37 <br />JACKNOWLEDGEMENT <br />��/ THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br />E THE REAL IMPROVEMENTS SPECIFIED AN- DECLARES <br />UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT <br />ANCE OF ALL INFORMATION CONDITIONS AND REQUIRE- <br />MENTS REPRESENTED ON THIS DOCUMENT THE UNDER- <br />SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br />POANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />Ej OF MINNESOTA BUILDING CODE REQUIREMENTS <br />OSrgnatu,« `Date <br />Approved y tit Oronc <br />