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CITY of ORO�TO -- -_ - - <br /> Building Permit PERMIT NO. Jr992 <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED ��z'���' <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT �Q j� � ��� � <br /> SITE ADDRESS u <br /> PROPERTY IDENTIFICATION NO.(PID) �S" �'7 '��' .�-3 ',UU fJ � <br /> FIRE DEPARTMENTJ � LOT BLOCK SU6DIVISION <br /> �--�L_- C, <br /> POST OFFICE J O�j NER (Name) Q� (Address) (Phone) <br /> L F' c �.2-�Y�n `3 ��'I�.c 5 i�� �t' 7 - � <br /> VAR. DATE ARC C /ENGINEER- Must Certify Multi-Family, ommercial& Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE DATE <br /> LOT AREA BUILDER (Firm) (Address) (Phone) <br /> %vZ ��� �- <br /> WIDTH � DEPT� (/� <br /> � TYPE OF WORK New Addition Remodel Renovate <br /> PROPOSED SETBACKS: l <br /> FRONT R. SIDE C�.i l Q� � / � I (1� � <br /> CONST.TYPE BUILDI G SIZE Estimated Construction Valuation <br /> REAR L. SIDE <br /> L. W. Ht. � �(� i <br /> LAKE WETLANDS <br /> OCCUPANCY PERMIT FEES <br /> CLASSIFICATION <br /> ACCESS DWELL. STORIES B 1 2 3 BLDG. PERMIT � '�� <br /> UNITS STATE FEE / '�� <br /> NEW EXISTING GAR.STALLS NUMBER OF BEDROOMS � <br /> AGENCY-APPROV. DATE ATT. PLAN REVIEW �� � <br /> CITY DET. SEPTIC <br /> APP. DATE SAC CHARGE <br /> COUNTY PROPOSED USE SEWER UNIT <br /> STATE PARK FEE <br /> PRIVATE EASEMENT COUNCIL ���Y ��I,� � <br /> APP. DATE OTHER <br /> TOTAL DUE . �//1 <br /> REMARKS: J CJ <br /> INSPECTION REQUIRED WORK REQUIRING ACKNOWLEDGEMENT <br /> SEPARATE PERMITS THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> ❑ . . . . . . FOOTING before pour <br /> �. . . . . . FRAMING rough-in PLUMBING ......................... ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES <br /> ❑ . . . . . . INSULATION MECHANICAL....................... ❑ UNDER PENALTY OF LAW ACKNOWLEOGEMENT AND ACCEPT- <br /> ❑ . . . . . . WALLBOARD before taping ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br /> WELL....................... ❑ <br /> . . . . . . <br /> FINAL before occupancy <br /> . . . . . . SITE INSPECTION SEPTIC.............................. � MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <br /> WORK BEYOND OR WITHOUT A RE- SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br /> SEWER.............................. <br /> QUIRED INSPECTION WILL BE SUB- P�IANCE wITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> JECT TO PENALTY. WATER.............................. ❑ <br /> OF MINNESOTA B ILD G CODE REQUIREMENTS. <br /> GRADING&FILLING ............... ❑ <br /> INSPECTIONS MUST BE CALLED-IN � /z A �� <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ ��v <br /> Signatu Date <br /> COPY: WHITE-FILE GREEN-FINANCE . � <br /> CANARY-INSPECTOR GOLD-RECEIPT <br /> PINK-ASSESSOR Approved � yY City of Orono <br /> Brooklyn Prtg.&Adv.Co.Inc. (612)561-4470 <br />