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(,ITV of ORO NO PERMIT N�; n 528'' <br />Building Permit DATE ISSUED ' �644 <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br />ZON NG DISTRICT SITE ADDRESS �Lsv,>t-� <br />�_' [� LEGAL DESCRIPTION PROP. ID. 3 —. <br />L� LOT fi3 — BLOCK _ l SUBDIVISION Tie— <br />FIRE ZONE L <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA <br />WIDTH rDEPTH <br />PROPOSED SETBACKS <br />FFj0NTo R.SIDE 2� <br />RE R 1 L.SIDE I <br />LAKE WETLANDS <br />ACCESS <br />NEW <ZXISTI <br />AGENCY•APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />PR. EASEMENT <br />�(r L� - -- <br />REMARKS: <br />WNER <br />(Namt) <br />(Address) (Phone) <br />` <br />IoWd <br />ARCHITECT/EN <br />INEcR Must Certify <br />Multi Family, CGmmercidl & Industrial Construction Plans <br />ERT.NO. <br />-- - — --- <br />--- ------ ----- <br />(Firm) <br />(Address) (Phone) <br />BUILDER <br />(Firm) <br />(Address) 15-4p / t7?rVCt4dAj(Phone) <br />I <br />% <br />' M zzC47 <br />TYPE OF WORK New <br />Addition Remodel Renovate <br />�C 1C <br />CONST TYPE <br />BLDG Sill[ <br />( <br />EST CONST VALUATION <br />L <br />1313,°U <br />RESjQENJIAI <br />_•5 <br />STORIES a <br />11 <br />PE MIT FEES <br />K <br />BDRMS/FLR <br />BLDG. PERMIT <br />l= <br />DWELL <br />UNITS <br />STATE FEE <br />PLAN REVIEW Z U) 0 U <br />c' STALLS <br />li <br />Z <br />SEPTIC APP. C_� <br />✓ <br />DET <br />PENALTY <br />-- <br />DOCK <br />PARK FEE <br />NUN RESID <br />PROPOSED USE <br />SAC CHARGE <br />OCC. <br />CLASS <br />COUNCIL <br />A U <br />Z% 3 - <br />STORIES <br />APP. DATE <br />TOTAL DUE <br />INSPECTION REQUIREfSUBWATER <br />ORK REQUIRING <br />FOOTING before <br />P RATE PERMITS <br />_ FRAMING rough i <br />INSULATION <br />MBING <br />WALLBOARD BeCHANICAL <br />_- <br />ELL <br />_FINALbefore ac <br />_ <br />PTIC �- <br />WORK BEYOND OR WITHOUEWER <br />QUIRED INSPECTION WILL <br />ATERJECT <br />TO PENALTYRADING <br />8 FILLING_INSPECTION <br />HOURS47CALLS <br />• 12 A.M. INSP. 1 - 4 <br />CALL 1 • 4 P.M. INSP. NEXLECTRICAL <br />from State <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 />OF MINNESOT A BUILD INjQXQeCRJ4LIREMENTS. <br />Signature <br />1-i <br />Appruved <br />COPY WHITEFILEGREEN FINANCE <br />CANARY --INSPECTOR GOLDRECEIPT <br />PINK ASSESSOR <br />ty of Orono <br />