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CITYof ORONO _ _ _ _. <br /> Building Permit PERMIT NO. 582� � � <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED ��j r�I'� <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT �� <br /> SITE ADDRESS • <br /> PROPERTY IDENTIFICATION NO.(PID) � � � — cJ� �G� �� <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OWNER (Name (Addre Phone) <br /> c�� Io� �� .t����'< <br /> VAR. DATE ARCHIT /ENGINEER- Must Certify Multi-Family,Commercial 8 Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE DATE <br /> LOT AREA BUILDER (Firm) (Address) (Phone) <br /> WIDTH H �� <br /> E OF ORK New Addition Remodel Renovat <br /> PROPOSED S: <br /> FRONT R. I �_� <br /> CONST.TYPE BUILDING SIZE imated Construction Valuation <br /> REAR S�I E <br /> L. W. Ht. 0 �O� <br /> LAKE W ANDS <br /> OCCUPANCY PERMIT FEES <br /> CLASSI FICATIO N �� �� <br /> ACCESS DWELL. STORIES B 1 2 3 BLDG. PERMIT �'�c7 . <br /> UNITS STATE FEE r� <br /> NEW XISTING GAR.STALLS NUMBER OF BEDROOMS <br /> AGENCY-AP R V. DATE ATT. PLAN REVIEW <br /> CITY DET. SEPTIC <br /> APP. DATE SAC CHARGE <br /> COUN PROPOSED USE SEWER UNIT <br /> STATE PARK FEE <br /> PENALTY <br /> PRIVATE EASEMENT COUNCIL <br /> APP. DATE OTHER <br /> TOTAL DUE �J <br /> REMARKS: . ( <br /> WORK REQUIRIIVG ACKNOWLEDGEMENT <br /> INSPECTION REGIUIRED SEPARATE PERMITS <br /> ❑ ...... FOOTING before pour THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> ❑ ...... FRAMING rough-in PLUMBING ......................... ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES <br /> ❑ ...... INSULATION WIECHANICAL....................... ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> ❑ . WALLBOARD before taping ANCE OF ALL INFORMATION. CONDITIONS AND REQUIRE- <br /> ... <br /> ...... FINAL before occupancy <br /> WELL........................ <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 WOR IN STRICT COM- <br /> QUIRED INSPECTION WILL BE SUB- P�IANCE wIT LL CI OF ORON DI NCES AND STATE <br /> JECT TO PENALTY. WATER.............................. ❑ <br /> GRADING&FILLING ............... ❑ <br /> OF M SOTA I�IL NG CODE R NTS. <br /> INSPECTIONS MUST BE CALLED-IN <br /> 24 HOURS IN ADVANCE. FIRE....:............................ ❑ /D �/ � <br /> Signat Date <br /> COPY:WHITE-FILE GREEN-FINANCE ,I <br /> CANARY-INSPECTOR GOLD-RECEIPT G��,1{��. <br /> PINK-ASSESSOR Approved i of Or <br /> BrooklYn Prtg.&Adv.Co.Inc. (812)6814470 <br />