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<br /> ` *ITY of-ORONO PERMIT NY • 4692(
<br /> ., 111d1I1g Permit DATE ISSUED j 51-3: I•,
<br /> °AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES .0-
<br /> S-
<br /> ,
<br /> P..O. BOX 66,CRYSTAL BAY, MN 55323 473-7357 ,r!' - ' l� '
<br /> SITE ADDRESS /4 • I M
<br /> h' ZONIN RI A ;*/_ .Y
<br /> G �K / LEGAL DESCRIPTION:PROP.10. gUBDIVISION i/ �
<br /> "`���/// LOT BLOCK
<br /> i i FIRE ZONE l ( •; ess ( I ! ri
<br /> 1, ,, D NER IN ,
<br /> VAR.DATE
<br /> ►'� • d L ..� . / �! / ' A/- • ft
<br /> - ARCHITECT/ENGINEER—Must Certify Multi-Family, mercial&Industrial Construction Plans ei
<br /> 'COND.USE DATE CERT.NO. (Add
<br /> (Fir .)
<br /> • 7 a. ,..wL
<br /> LOT ;, ,� . % I 1i h / IA J%, / Jt i 4,' ,
<br /> WIDTH DEPTH BUILDER (Firm) (Address)
<br /> (Phone) tv
<br /> PROPOSED SETBACKS 1 TYPE OF WORK Addition Remodel
<br /> Renovate
<br /> t 'FRO�(T R.SID4 7
<br /> tRE• ; % LSIDE ♦ " if 'i
<br /> ,, a T/ . ESTj , l
<br /> T.VALUATION
<br /> CONST.TYPE BLDG.SIZE
<br /> • LAKE WETLANDS G 4Ck L. W. � / H
<br /> / / / ..ii ,
<br /> ACCESS RESIDENTIA STORIES B 1 2 3 PER IT FEESA
<br /> BLDG.PERMIT
<br /> *' EXISTING DWELL. BDRMS/FLRSTATE FEE I
<br /> AGENCY-, •PROV.DATE UNITS — 0 O i
<br /> CITY GAR.STALLS SEPTIC PLAN REVIEW ••
<br /> y� ATT. APP.DATE ,..
<br /> • �I air / PENALTY
<br /> «•COUNTY DET. DOCK PARK FEE /�• •
<br /> j NON-RESID. PROPOSED USE
<br /> S'TATE;., 4 1t SAC CHARGE _43c• 0 0
<br /> PR EASEMENT occas.
<br /> STORIES COUNCIL TOTAL DUE �'if ��;� ��
<br /> j ''f APP.DATE
<br /> �
<br /> -EMARKS:tl t$- <
<br /> x k .:t +Y.
<br /> 1 t .- ! -,00,,
<br /> ► ACKNOWLEDGEMENT
<br /> � INSPECTION REQUIRED WORK REQUIRING
<br /> m. SEPARATE PERMITS
<br /> FOOTING before pour THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
<br /> 11, FRAMING rouph-in PLUMBING
<br /> i, v (e .,c THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES
<br /> ,`Iiarr- WALLBOARD Before Taping MECHANICAL UNDER PFNA 1.2'Y OF LAW ACKNOWLEDGEMENT AND ACCEPT
<br /> . WELL L„0/-.- � ANCE OF ALL iNFU•iMATION. CONDITIONS AND REQUIRE-
<br /> FINAL before axupaneY SEPTIC A� ��
<br /> MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER
<br /> WORK BEYOND OR WITHOUT A RE- SEWER SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM-
<br /> k' OUIRED INSPECTION WILL BE SUB- WATER
<br /> JECT TO PENALTY, PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE j
<br /> GRADING a FILLING
<br /> fINSPECTION HOURS 473.7357 OF MINNESOTA BUILDING CODE REQUIREMENTS.
<br /> p CALL 8•12 A.M.INSP.1-4 P.M.
<br /> *y•CALL 1• 4 P.M.INSP.NEXT DAY ELECTRICAL f om Sub Deb -��c
<br /> Signature
<br /> OPY ;„, WHITE—FILE GREEN—FINANCE ///y �S
<br /> 1,,„.•,,,,f.,,1*-', CANARY-INSPECTOR GOLD—RECEIPT Appovect—j '^ id- /‘ -I/ City et
<br /> , PINK-ASSESSOR
<br /> I.
<br /> }':•12: t;$01, r• (-t,,.,11.--
<br />
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