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("JITI" ofe (11tONO PERMIT N"_ 4866 � <br />Building Permit <br />DATE ISSUED"�z-- <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br />P.O. "OX 66, CRYSTAL BAY, MN 55323 473-7357 <br />ZONING DISTRICT <br />I <br />IRE ZONE <br />o Nc, lam► fC. t _ <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA <br />Z A <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />FRONT R <br />$ I <br />REAR LSIDE <br />LAKE WETLANDS <br />ACCESS <br />NEW EXISTING <br />A Y APPROV DAI E <br />CITY <br />COUNTY <br />STATE <br />PR. EASEMENT <br />HE MAR 1,S <br />SITE ADDRESSvZ- r,i.___L,f2QL_f`i5ick —_.xJ _V r sJ <br />LEGAL DESCRIPTION: PROP. ID. <br />LOT _2 BLOCK _ L - __SUBDIVISION 7r►e— MAW <br />F <br />(Name) (Address) (Phone <br />v.gf,;kr,_ =a ti o .NGINES I: Must Certify Multi Family, Commercial & Industrial Construction Plans <br />irm) (Address) (Phone) <br />BUILDER (Firm) (Andress)) (Phone) <br />t 6 <br />-404- uR.T -s A NQS- �rti` , �T, <br />C. _ <br />TYPE OF WORKGNeAddition Remodel <br />ONST TYPE <br />SLUG SIZE <br />.60h, i <br />EST CONST VALUATION <br />` <br />L � 1V �/ � "' 3 el / <br />00 <br />1� /M+l� <br />. <br />t JU , <br />-CIT <br />STORIFS S 1 �� <br />PERM FEES <br />`7 <br />BLDG. PERMIT 7,3.�,AC� <br />[4EENTIA <br />LL <br />BDRMSIFLR y <br />STATE FEE <br />STALLS <br />SEPTICPLAN <br />REVIEWAPP <br />DATE <br />PENALTYDOCKu�cu� <br />D <br />PARK FEE �'vI Sib . <br />nenrcn r,cc <br />INSPECTION REQUIRED <br />I OOTING before pour <br />I NAMING rough m <br />INSULATION <br />WALLBOARD Before Tapino <br />FINALbefore occupancy <br />WORK BEYOND OR WITHOUT A RE <br />OUIRED INSPECTION WILL BE SUB <br />JECT TO PENALTY <br />INSPECTION HOURS 4737357 <br />CALL 12AM 'NSP 1 4 P M <br />CALL 1 4 PM INSP NEXT DAY <br />COPY WHITE FILE <br />CANARY INSPECTOR <br />PINK AS41,.,014 <br />occ SAC CHARGE S •• 0 t3 <br />CLASS <br />STORIES COUNCIL - — -- - 00 <br />APP DATE TOTAL DUE / <br />WORK REQUIRING <br />SEPARATE PERMITS <br />PLUMBING _ <br />MECHANICAL <br />WELL __ <br />SEPTIC__— <br />SEWER <br />NATER <br />t,RADING & F ILLINu <br />F LECTRICAL from State <br />GREEN FINANCE <br />GOLD RECEIPT <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br />THE REAL IMPROVEMENTS SPECIFIED. AND 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 WORKS IN STRICT COM- <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />O,NC BUIL CFEQUIREMENTS. ' <br />Approved <br />Dote <br />tY of Orono I <br />