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(? <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUP NCY <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br />PERMIT NO. 61-95 <br />DATE ISSUED A' LL�4L_ <br />ZONING DISTRICT <br />- <br />SITE ADDRESS����'! <br />�� <br />PROPERTY IDENTIFICATION NO. IPIDI e7 <br />LOT BLOCK <br />( 1 i <br />SUEDIV;SION_ <br />C l- - <br />FIRE DEPARTMENT <br />POST OFFICE <br />OWNER (Name) <br />(Address) <br />(Phone) <br />VAR. DATE <br />ARC ITECT/ENGINEER - Must Certify Multi -Family. Commercial & Industrial: <br />Construction Flans <br />(Firm) <br />, <br />(Address) <br />(Phone) <br />COND. USE DATE <br />BUILDER (Firm) <br />(Address) <br />(Phone) <br />LOT AREA' <br />WIDTH DEPTH <br />.-� -�. ­'- -=-` 1 - — -- <br />TYPE G ORK New Addition Remclel Renovate <br />c �,X- 6r� <br />PROPOSED SETBACKS: <br />FRONT R. SIDE <br />CONST. T PE <br />BUILDING SIZE <br />E. .I ated Construction Valuation <br />REAR L. SIDE <br />/ <br />_ 0fJ <br />/(V/1 <br />L. W. Ht <br />X� 0 . <br />LAKE WETLANDS <br />OCCUPANCY <br />PERMIT FEES <br />CLASSIFICATION <br />C Q v <br />BLDG. PERMIT <br />So <br />ACCESS <br />DWELL. <br />STORIES B 1 2 3 <br />UNITS <br />STATE FEE - <br />GAR. STALLS <br />NUMBER OF BEDROOMS <br />NEW EXISTING <br />AGENCY-APFROV. DATE <br />ATT. <br />DIET. <br />PLAN REVIEW <br />SAC CHARGE -- <br />C;TY <br />SEPTIC <br />APP DATE <br />-..7f <br />SEWER UNIT <br />PROPOSED USE <br />Sl... _ <br />PARK FEE ------------ <br />PENALTY <br />PRIVATE EASEMENT <br />COUNCIL <br />APP DATE <br />OTHER <br />TOTAL DUE <br />REMARKS: A411TF ,1"j/>C <br />i�VIL I r\ C <br />INSPECTION REQUIRED <br />WORK REQUIRING <br />` <br />SEPARATE PERMITS <br />..... FOOTING before pour <br />r- <br />❑ ...... FRAMING rough ul <br />PLUMBING .. <br />L <br />1] ...... INSULATION <br />MECHANICAL <br />❑ <br />❑ ...... WALLBOARD before taping <br />❑ <br />❑ ...... FINAL More occupancy <br />WELL ...... <br />❑ <br />C ...... SITE INSPECTION <br />SEPTIC.. <br />❑ <br />WORK BEYOND OR WITHOUT A RE- <br />SEWER..... <br />QUIRED INSPECTION WILL BE S' IB- <br />WATER... <br />❑ <br />JECT TO PENALTY. <br />❑ <br />GRADING 8 FILLING <br />INSPECTIONS MUST BE CALLED-IN� <br />❑ <br />24 HOURS IN ADVPNCE. <br />FIRE....... <br />A(,KNOWLEDGEMENT <br />THE UNDERSIGN.._ "�REBY REOUESTS PERMISSION TO MAKE <br />TH� REAL IMPROVEMENTS SPECIFIED. AND DECLARES <br />Un :NALTY OF LAN' ACKNOWLEDGEMENT AND ACCEPT- <br />AMCC ALL INFORMATIO:i DITIONS AND REOUIRE- <br />AENTS REPRESENTED ON THIS DOCUMENT THE UNDER- <br />SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br />PLIANCE WITH ALL CITY OF ORONO C )INANCES AND STATE <br />OF MINNZSOTA BUILDING_QQQf__REOUIREMENTS <br />COPY WHITE -FILE GREEN FINANCE <br />CANARY -INSPECTOR GOLD -RI '.EIPT <br />PINK ASSESSUI <br />lroo& Iyn Nft A Ad, fo Inc. 1612; 56 t 447t <br />Ity of Oronc <br />