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CIT�'of OR()�() <br /> Building Permit PERMIT NO. 6Og� ' <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED �� <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONIN I�TRICT ���-� � " <br /> SITE ADDRESS <br /> PROPERTY NTIFICATION NO.(PID� <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE NER (Name) (Address) '� � . hone) <br /> 7 C <br /> VAR. DATE ARCHITECT/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 /> WIDTH DEPTH �� �� ��-- �� y �3 <br /> TYPE OF WORK New Addition R ode ) Renovate <br /> PROPOSED SETBACKS: �.� �C <br /> FRONT R. SIDE <br /> CONST. TY� BUILDING SIZE Estimated Construction Valuation <br /> REAR L. SIDE r - \�� <br /> \X-X_? <br /> L. '�'�'� � � W. � � � Ht. <br /> LAKE WETLANDS � <br /> OCCUPANCY PERMIT FEES <br /> CLASSIFICATION \._� <br /> ACCESS DWELL. STORIES B 1 2 3 BLDG. PERMIT <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 -����� ����1 PARK FEE <br /> � PENALTY . � <br /> PRIVATE EASEMENT COUNCIL <br /> APP. DATE OTHER <br /> � � � TOTAL DUE ( ' <br /> REMARKS: C�,.t�1 � a � `�.� o � � <br /> l,L�' " "" F� <br /> � -�-` � � � _ � -4-- � �� <br /> �� � e�� ��� _� � <br /> WORK REQUIRING ACKNOWLEDGEMENT <br /> INSP ION REQUIRED SEPARATE PERMITS <br /> . . . . . . FOOTING before pour TNE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> ❑ . . . . . . FRAMING rough-in PLUMBING ......................... ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES <br /> ❑ . . . . . . INSULATION MECHANICAL....................... ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> ❑ . . . WALL60ARD 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 UILDING DE REMENTS. <br /> GRADING&FILLING ............... ❑ <br /> INSPECTIONS MUST BE CALLED-IN � �/ <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ �Q �� <br /> Signature Date ! <br /> COPY: WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT <br /> PINK-ASSESSOR Approved ' f Orono <br /> Brooklyn Prtg.&Aev.Co.Ina (612)561�470 <br />