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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 <br />ZL � DISTRICT <br />FIRE QEopARTMETr. <br />POST OFFICtJ <br />VAR.DATE <br />COND. USE DATE <br />LOT A A <br />WIDTH DEPTH <br />9. SD y t <br />PROPOSED SETBACKS <br />FRON T t R SIDE I p <br />REAR / L SIDE <br />100 <br />LAKE WETLANDS <br />ACCESS <br />NEW EXISTING <br />AGENCY-APPROV DATE <br />CITY <br />COUNTY <br />STATE <br />RIVAT <br />REMARKS <br />PERMIT NO. 5977, <br />7 <br />DATE ISSUED _D" <br />SITE ADDRESS � : I """ I/ I (=✓V <br />PROPERTY IDENTIFICATION NO IPIDI O'l - II7-D 3 <br />LOT--- BLOCK SUBDIVIZION <br />OWNER (Name) IAddressl <br />(Phone) <br />ARCHITECT/ENGINEER - Must CertifkkMjllI- Family. Commercial & Industrial Construction Pd1ans <br />(Firm) IAddressl IPhonel <br />--� c� ✓� y <br />m BUILDER (Fir) (Address) Phone <br />y �l � <br />-idC Y - 7 <br />TYPE OF WORK e _ dd(tlon Remodel Renovate <br />CONST TYPE <br />BUILDING SIZE <br />ated Construction Valuation <br />�TlniP <br />L.� J7'�� /1W <br />l_0FHI <br />D-66 <br />OOO <br />OCCUPANCY <br />PERMIT FEES � <br />CLASSIFICATION <br />DWELL <br />UNITS <br />STORIES B t <br />�% 3 <br />BLDG. PERMIT/�a <br />STATE FEE <br />Qj <br />S1 <br />GAR STALLS <br />3 <br />NUMB R OF 8 ROOMS <br />Me <br />PLAN REVIEWS <br />, J <br />�Z <br />SEPTIC <br />SAC CHARGE <br />�, <br />FE <br />APP_ DATEPOSED <br />USE <br />SEWER UNIT <br />PARK FEE <br />K� <br />A <br />PENALTY <br />COUNCIL <br />1APP <br />DATE <br />OTHER <br />INSPECTION REQUIRED <br />WORK REQUIRING <br />SEPARATE PERMITS <br />FOOTING before pour <br />FRAMING roughen <br />PLUMBING <br />'bk..... INSULATION <br />MECHANICAL <br />..... WALLBOARD before taping <br />....FINAL before occupancy <br />WELL <br />❑ ...... SITE INSPECTION <br />SEPTIC <br />WORK BEYOND OR WITHOUT A RE- <br />SEWER <br />QUIRED INSPECTION WILL BE SUB <br />JECT TO PENAL-Y <br />WATER <br />GRADING 6 FILLING <br />INSPECTIONS MUST BE GA. -LED -IN <br />24 HOURS IN ADVANCE <br />FIRE <br />COPY WHITE FILE GREEN FINANCE <br />CANARY INSPECTOR GOLD <br />RECEIPT <br />PINK ASSESSOR <br />M oo. irn ►.. aAO. G. ILK (a 121 w.4ru <br />TOTAL DUE <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY REUUESTS PERMISSION TO MAKt <br />THE REAL IMPROVEMENTS SPECIFIED AND DECLARES <br />UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT <br />Ind 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 />PLIANCE WITH Ali CITY OF ORONO ORDINANCES AND STATE <br />OF MINNFcOTA BUILDING CODE REQUIREMENTS / <br />❑ ti it�atun• , _Date J6 <br />AnorOVed / (,I' (I"', <br />