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CITY of OIZOl�O PERMIT N� [ 5431 I <br /> Building Permit � <br /> DATE ISSUED �'��- Sr�f <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT SITE ADDRESS �7�5 Bd�N �OiNT I�Oa� <br /> �� /n LEGAL DESCR IPTION: PROP. ID. _ /(o % / � r} 3 �S �O DS� <br /> �' LOT BLOCK SUBDIVISION <br /> FIRE ZONE <br /> WNER (Name) (Address) (Phone) <br /> VAR. DATE — j j �j,��� ' <br /> '"' ARCHITECT/ENGINEER — M st Certify Multi-Family, Commercial & Industrial Construction Plans <br /> COND. USE DATE ERT.NO. <br /> '� �Firm) (Address) (Phone) <br /> LOT AREA <br /> c� A�. � <br /> WIDTH DEPTH BUILDER (Firm) (Address) (Phoane_.� <br /> fi �'t' df (� � � � �`T�"�'Ot�D <br /> PROPOSED SETBACKS `'/D5 U CC3.. � / � <br /> FRONT R.SIDE TYPE OF WORK e Addition Remodel enovate <br /> r Q �.i- <br /> REAR L.SIDE �pp <br /> ,� � <br /> CONST. TYPE BLDG. SIZE EST. CONST. VALUATION <br /> LAKE WETLANDS <br /> i' ••• L. W. Ht. I J ��� ,12� <br /> ACCESS RESIDENTIA STORIES B 1 2 3 PERMIT FEES <br /> � " BLDG. PERMIT ,$ O <br /> NEW EXISTING � DWELL. BDRMS/FLR <br /> AGENCY-APP V. DATE UNITS STATE FEE � <br /> CITY GAR.STALLS SEPTIC <br /> ATT. <br /> APP. DATE PLAN REVIEW 1 �O <br /> COUNTY oET. PENALTY <br /> DOCK <br /> STATE <br /> NON-RESID. PROPOSED USE PARK FEE <br /> PR. EASEMENT OCC. SAC CHARGE <br /> C LASS. <br /> STORIES COUNCIL ^ <br /> APP. DATE TOTAL DUE � �,�• OV <br /> REMARKS: (,3 �LRST� C V U < o�t7 ALL <br /> ,�r /�r���m���,4KD coU�� ��r►-.�-t-� <br /> INSPECTION REQUIRED WORK REQUIRING ACKNnWLEDGEMENT <br /> __�FOOTING before pour SEPARATE PERMITS <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> FRAMING rough-in <br /> INSULATION PLUMBING THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES <br /> WALLBOARD Before Taping MECHANICAL UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> WELL ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br /> FINAL before occupancy <br /> SEPTIC <br /> MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER— <br /> WORK BEYOND OR WITHOUT A RE- SEWER <br /> QUIRED INSPECTION WILL BE SUB- SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM <br /> WATER <br /> JECT TO PENALTY, PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STA' <br /> GRADING& FILLING <br /> INSPECTION HOURS 473-7357 OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> CALL8 - 12 A.M. INSP. 1 -4 P.M. <br /> CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State A� <br /> Signature 'V V� �' �+ <br /> C�PY: WHITE—FILE GREEN—FINANCE <br /> CANARY—INSPECTOR GOLD—RECEIPT �� �� <br /> PINK—ASSESSOR Arrroved d� • � ` C <br />