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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 :5323 473.7357 <br />ZONING DISTRICT <br />FIRE DFPARTMENT <br />POST OF, ICE <br />\,AR DATE <br />COND USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />FRONT R SIDE <br />REAR L SIDE <br />LAKE WETLANDS <br />ACCESS <br />NEW EXISTING <br />AGENCY-APPROV DATE <br />CITY <br />COUNTY <br />STATE <br />PRIVATE EASEMENT <br />SITE ADDRESS t.4gJD <br />PROPERTY IDENTIFICATION NO IPIDI <br />LOT BLOCK <br />(�,WNgR (Name) <br />PERMIT NO. 5738 1 <br />DATE ISSUED`Q <br />SUaDIVISION <br />IAd�. <br />(Phone) <br />L` 1 L4,1 ;% ?!-,:I I <br />ARCHiTECTIE INEER - Must Certify Mull1-Family. Con,mercial & Industrial Construction Plans <br />(Firm) (Address) (Phone) <br />BUILDER (Firm) (Address) (Phone) <br />TYPE OF WORK Ned c,ticin <br />Pemodet <br />Renovate <br />r <br />CANE <br />BUILDING SIZE <br />Estimated Construction Valuation <br />t <br />L <br />o©a <br />W <br />OCCUPANCY <br />PERMIT FEES <br />CLASSIFICATION <br />DWELL <br />UNITS <br />STORIES P t p 3 <br />BLDG. PERMIT <br />STATE FEE <br />w- <br />/ <br />GAR STILLS <br />NUMBER OF BEDROOMS <br />37 <br />ATT <br />OLAN REVIEW <br />ix/2 <br />DET <br />SEPTIC <br />nil 010 <br />APP DATE <br />SAC CHARGE <br />?Sl —S <br />PROPOSED USE <br />SEWER UNIT <br />PARK FEE <br />0j <br />COUNCIL <br />APP DATE <br />REMARKS ' �QG( S 'A <br />r A, , :. .v Ll , . 7-2 , <br />IN PECTION REQUIRED <br />WORK REQUIRING <br />SEPARATE PERMITS <br />FOOTING before pour <br />.... FRAMING rough -in <br />PLUMBING <br />.... INSULATION <br />MECHANICAL <br />.... WALLBOARD before lawny <br />WELL <br />❑ <br />.....FINAL before OCcupan/ y <br />❑ ...... SITE !NSPECTIUN <br />SEPTIC <br />❑ <br />Wul— it- r'6-:^ nR WITHOUT A RE. <br />SEWER <br />❑ <br />OUIRED IN8F+ECfI0`. WILL E'F SUB' <br />❑ <br />JECT TO PENALTY. <br />WATER <br />INSPECTIONS MUST BE CALLED -IN <br />24 HOURS IN ADVANCE. <br />FIRE <br />❑ <br />COPY WHITE -FILE GREEN -FINANCE <br />CANARY. IN SPEC TOR GOLD -RECEIPT <br />PINK ASSESSOR <br />jb N"t ►rts r1 AM Co 0- 161I, %41.U/0 <br />PENALTY <br />OTHER <br />TOTAL DUE <; ,53 / 7. <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY REQUESTS PFRM13SI(;N TO MAKE <br />THE REAL IMPROVEMENTS SPECIFIED AND DECLAR"R <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 NORK IN STRICT COM- <br />PLIANCF WITH ALL CITY OF ORONO ORDINANCES AND aTATE <br />OF MINNESOTA BUILDING COCE REQUIREMENTS <br />e <br />'- i a•' Dele <br />n �'O <br />Aoorove.' Cnr of Oruro <br />