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CITY of ORO NO <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 r C <br />ZONIN TRIC SITE ADDRESS,._ <br />LEGAL DESCRIPTION: PROP. ID. <br />LOT n RI nrK <br />FIRE L E <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA <br />WID DEP <br />PROPOSEDSET9ACKS <br />FRO6V/ R.SIDE <2A <br />/ <br />RE I L.SIDE <br />/ <br />LAKE WETLANDS <br />ACCESS <br />�14CSS:3 EXISTING <br />AGENCY-APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />PR. FA;EMENT <br />REMARKS <br />PERMIT M 55891 <br />DATE ISSUED <br />EXPIRES <br />La a_ [fir . <br />cIIRnlvlclnlu K i A&P/Z11 <br />MID ER <br />I�Q.Q <br />( amO <br />Af -(,Address)) (yt- <br />�� i✓10.1 �� l -1` E . SS4 <br />(Phone) <br />7 41 <br />A HITECT/ENGINEER <br />-64ust Certify Multi -Family, Commercial & Industrial <br />Construction Plans <br />E RT. NO. <br />(Firm) <br />(Address) <br />(Phone) <br />BUILDER <br />(Firm) <br />(Address) <br />(Phone) <br />TYPE OF WORK New <br />Addition Remodel <br />Renovate <br />CONST, TYPE <br />n <br />BLDG. SIZE <br />, x 3 g � <br />�" x(. ?o,#11:74 <br />EST CONST. VALUATION <br />'34 <br />W <br />H <br />CDL <br />t <br />\ <br />HESIDENTIAL, <br />STORIES B 1 <br />z 3 <br />PERMIT FEE <br />BDRMS'FLR <br />BLDG. PERMIT <br />DWELL <br />UNITS ( <br />STATE FEE <br />PLAN REVIEW <br />�3 <br />GAR STALLS <br />SEPTIC p <br />3 �S" S <br />T <br />APP DATE <br />D <br />PENALTY <br />DOCK <br />PARK FEE <br />-- -" - <br />NON RESID <br />PROPOSED USE <br />SAC CHARGE <br />_ <br />S —' <br />OCC <br />CLASS <br />STORIES <br />:OUNCIL <br />APP DATE <br />TOTAL DUE <br />�p <br />/�. <br />INSPECTION REQUIRED <br />WORK REQUIRING <br />SEPARATE PERMITS <br />FOOTING before pour <br />_ FRAMING rough In <br />_ INSULATION <br />PLUMBING <br />LLBOARD Before Tapvri <br />MECHANICAL_ <br />W E L L <br />_ FINAL before occupancy <br />SEPTIC__. <br />WORK BEYOND OR WITHOUT A H( <br />SEWER _ <br />QUIRED INSPECTION WILL BE %'IR <br />JECT TO PENALTY <br />WATER <br />INSPECTION HOURS 473-735 <br />GRADING& FILLING____ _ <br />CALL 8 • 12 A.M. INSP 1 4 P.M <br />CALL 1 4 P.M. It.3P NEXT DAY <br />L hom Sn <br />ACKNOWLEDGEMENT <br />THE UN"ERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br />THE HEAL IMPROVEMENTS SPECIFIED. AND DECLARES <br />UNDER PENALTY OF LAW AL•(NOWLEDGEMENT AND ACCEPT <br />ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br />MENTS REPRESENTED ON THIS DOCUMENT THE UNUER- <br />SIGNED FUHTHER AGREES TO DO ALL WORKS IN STRICT COM- <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />OF MINNESOTA BUILDINCy,COD&40UIREMENTS <br />COPY WHITE -FILE GREEN -FINANCE <br />CANARY INSPECTOR GOLDRECEIPT <br />PINK ASSESSOR <br />U <br />F <br />we'91� <br />J!! <br />