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�IT�' of OIZONO PERMIT N�) �� 5294 ( <br /> Building Permit �_�y _� <br /> D�4TE ISSUED <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br /> P.O. BOX 66, CRYSI"AL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT SITE ADDRESS `3yy3 C!�'-lS'T/�C_ �� �-,n•i'Z, <br /> LEGAL DESCRIPTION: PROP. ID. <br /> LOT BLOCK SUBDI VISION <br /> FIRE ZONE <br /> WNER (Name) (Address) (Phone►u7 j _ <br /> VAR. DATE � <br /> . �'_ ,7� a� L 3 Gryz.;r�� �z . e� � <br /> ARCHITECT/ENGINEER - Must Certify Multi-Family, Commercial & Industrial Construction Plans <br /> COND. USE DATE ERT.NO. <br /> (Firm) (Address) (Phone) <br /> LOT AREA <br /> WIDTH DEPTH BUILDER (Firm) (Address) (Phone) <br /> �� � ���C'�l.� A.a�a.!t� �' <br /> PROPOSEDSETBACKS <br /> FRONT R.SIDE TYPE OF WORK New Addition Remodel Renovate '� <br /> REAR LSIDE �'�L�4�C-i_.� �'?Ol� <br /> CONST. TYPE BLDG. SIZE EST. CONST. VALUATION <br /> LAKE WETLANDS <br /> �. W. Ht. � IN . �-t� <br /> ACCESS RESIDENTIA STORIES B 1 2 3 PERMIT FEES <br /> oti <br /> BLDG. PERMIT "� <br /> NEW EXISTING DWELL. BDRMS/FLR <br /> AGENCY-APPROV. DATE uNirs STATE FEE �� <br /> CITY GAR.STALLS SEPTIC <br /> ATT. APP. DATE PLAN REVIEW <br /> COUNTY �ET. PENALTY <br /> DOCK <br /> STATE <br /> NON-RESID. PROPOSED USE PARK FEE <br /> PR. EASEMENT ocC. SAC CHARGE <br /> C LASS. <br /> STORIES COUNCIL s=j <br /> APP. DATE TOTAL DUE �. �-- <br /> REMARKS: <br /> INSPECTION REQUIRED WORK REQUIRING ACKNnWLEDGE!l11ENT <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 STATE <br /> GRADING& FILLING _ <br /> INSPECTION HOURS 473-7357 OF MINNESOTA BUILDING DE REQUIREME S. <br /> CALL 8 - 12 A.M. INSP. 1 -4 P.M. <br /> CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State - <br /> Signature te ,�''Zy� <br /> COPY: WHITE—FILE GREEN—FINANCE <br /> CANARY—INSPECTOR GOLD—RECEIPT /� � <br /> PINK—ASSESSOR Approved �f'� r City of Orono <br />