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<br /> � CIT�of ORO\'O
<br /> PER"^'T N° _� 54441
<br /> .,� =�,� ,; �' � Building Permit � �Q
<br /> ,;�� � DATE ISSUED U
<br /> „,�;, j AND APPLICATION FOR CERTlFICATE OF OCCUPANCY �XPI ES
<br /> "�'�'�" � P.O.BOX 66,CRYSTAL BAY,MN 55323 473-?357 � —
<br /> � ZONING DISTRICT SITE ADDRESS
<br /> � _ LEGAL DESCRIPTION:PROP.ID. � 7 "
<br /> LOT_ BLOCK SUBDIVISION
<br /> � FIRE ZONE
<br /> + W (Nam (Address) (Phone)
<br /> � VAR.DATE , /X��n,� t�7� g
<br /> ARCHITECT/ENGINEF�-Mus[C2rtiFy Multi-Family,Commercial&Industrial Construc[ion Plans
<br /> j; COND.USE DATE ERT.NO.
<br /> 4� —
<br /> (Firm) (Address) (Phone)
<br /> � LOT AREA
<br /> WIDTH DEPTH BUILDER (Firm) (Address) (Phone)
<br /> PROPOSED SEiBACKS -��' /'C�w�.ICSZ-'— �jI7,� ?
<br /> FRONT R.SIDE ��PE OF WORK New Addition Remocel Renovate
<br /> REAR LSIOE �[�T�/�� � .. ,.�,�
<br /> ���.i� tdtl�
<br /> COPJST,TVPE BLD^ SIZE EST CONST.VALUATInN
<br /> LAKF WETLANDS ' /,// ��
<br /> �. L W. HL ff 4 6�
<br /> i
<br /> ACCESS aesioervrin sroRies � i 2 s PERMIT FEEC�-l- •
<br /> NEW EXISTING - ULDG.PERMIT J , SZ�
<br /> OWE�L. BDRMS/FLR
<br /> AGENCY-APPROV.DATE u�viis SIATEFEE �j. OZ�
<br /> - ' CITY � GAR.STALLS SEPTIC
<br /> � ATT. APP.DATE PLAN REV�fW
<br /> COUNTY oEr. PENALTY
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<br /> STATE r�o�v r�esio. aaorOseo use PARK FEE
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<br /> ,�n � PR.EASEMENT occ. SAC CHARGE
<br /> ""' �'"„fg'a �.4-"' $ CLASS.
<br /> �' h'� '� STORIES COUNCIL /�
<br /> �� s - APW.oA'E 70TAL DU '7 � � SO
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<br /> j INSPECTION RtQUIRED WORK REQUIRING ACKNOWLEDGEMENT
<br /> 9 � FOOTINGDetorepour SEPAP.ATE PERMITS
<br /> i FRAM',VG rough�in THE UNDERSIGNEO HEREBY REQUESTS PEflMISSlO�TO MAKF
<br /> f PWPd(11NG� " - -,_�,
<br /> THE REAI I�dPfiOVENENTS SPECIFI:D, AND DECLARES '`;'F :h`..
<br /> �� �INSULATION -- - i-� -
<br /> ; —�.�WALLBOARD Be1oro Tapiny h;ECHANICAL�� �
<br /> � j --- UNDERPENALIYOFLAWACKNOWLEDGEMENTANDACCEP"i• I � -
<br /> WELL f
<br /> a �FINA�Celorea:tupancy — -- ANCE Of A�L INFOHMATION, CONDITIONS AND RE�UIRE� ( -
<br /> SEPTIC _ � _ _
<br /> MENTS REPRESENTED ON THIS DOCUMENT. Th{E UNDER- i �
<br /> WORK BEYOND OR WITHOUT A fiE� SEWER_ � � � .
<br /> �UIRED INSPECTION WILL BE SUB� pyqTER SIGNED FURTHER AGREE:iTO DO ALL WORKS 1N STRICT COM E �- �s#'il, '� ;``h� �` �d '��
<br /> , JECT TO VENALTY — 5 V;� ,� �" ^,� 'r'��^?th� �"'�, �
<br /> � GRADING&FILLING PLIANCEWITHALLCITVOfORONOORDINANCESANDSTATE f �r �' �����y� �,.y� r-'�`'�
<br /> INSPECTIONHOURS 4)9-.'"357 - � i ^'�•1 ,,.r� .� ��� �
<br /> OF fr11NNF$OTA BU�L�ING CODE RE�UIFEMENTS.
<br /> � CAII 8�12 A.M.INSP.1�4 P.M. , f +�y �.(� ���; �� ��s��
<br /> CALL t- 4 P,M.INSP.NEXT DAV ELE 7RICAL Irom State � �< '� '"ti° � i
<br /> � �� ''`.�"- �6+'' '� ��. ..t����
<br /> '. Signature Date -" '�° a :a �" i
<br /> COPY: WHITE-FILE GRECN-FINANCE ��� '-f �
<br /> CANARY-INSPECTOR GUIP-RECEIPT �/��7", +�" �
<br /> PINK-ASSESSOR Approved "�'� �,� ��'`� •+�
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