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CITY of ORO1TO <br /> Building Permit PERMIT NO. 6`�5O ' <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED l � '' <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 w <br /> ZONING DISTRICT e-�'` �� /� .�p l ���r . � <br /> SITE ADDRESS � �./ /`�/ /� L C��`'� . <br /> PROPERTY IDENTIFICATION NO.(PID) � ` a�i3 <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OWNER (Name) � (Address) (Phone) <br /> � � .> � �"--'� �P_/\ �µ=l�EE�. 7 /- (�-v / <br /> VAR. DATE CHITECT/ENGINEER- Must Certify Multi-Family.Commercial& Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE DATE <br /> LOT AREA BUILDER (Firm) (Address) (Phone) <br /> �'Z�(,17��'�� <br /> WIDTH DEPTH <br /> TYPE OF WORK New Addition Remodel Renovate <br /> PROPOSED SETBACKS: -- <br /> FRONT R. SIDE <br /> CONST.TYPE BUI�DING SIZE Estimated Construction Valuation <br /> REAR L. SIDE , <br /> LAKE WETLANDS <br /> L ��. � W. � Ht. �� � �[/�� � <br /> OCCUPANCY PERMITFEES <br /> CLASSIFICATION <br /> ACCESS DWELL. STORIES g 1 2 3 BLDG. PERMIT �S � � <br /> UNITS <br /> 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 /> PENALTY <br /> PRIVATE EASEMENT COUNCIL <br /> APP. DATE OTHER <br /> TOTALDUE / <br /> REMARKS: ` .[,' <br /> INSP CTION REQUIRED <br /> WORK REQUIRING ACKNOWLEDGEMENT <br /> SEPARATE PERMITS THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> . . . . . . FOOTING before pour <br /> ❑ . . . . . . FRAMfNG rough-in PLUMBING ......................... ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES <br /> ❑ . . . . .. INSULATION MECHANICAL................. ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> ❑ . . . . WALLBOARD before taping ANCE OF ALL INFORMATION. CONDITIONS AND REQUIRE- <br /> WELL............................... ❑ <br /> . . . . . . FINAL before occupancy <br /> ❑ . . . . . . SITE INSPECTION SEPTIC.............................. � MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <br /> WORK BEYOND OR WITHOUT A RE- SEWER.............................. � SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br /> QUIRED INSPECTION WILL BE SUB- PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> JECT TO PENALTY. WATER.............................. ❑ <br /> OF MINNESOT BUILDING CODE REQUIREMENTS. <br /> GRADING&FILLING ............... ❑ , <br /> INSPECTIONS MUST BE CALLED-�N � <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ � `/ �J � <br /> Signature �' --� �� O` �- f< .- Date�� ( �� <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT <br /> PINK-ASSESSOR Approved � CityofOrono <br /> Brooklyn Prtg.&Adv.Ca.Inc (612)561-4470 <br />