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CITY of ORONO _ _ - <br /> Buildin Permil� PERMIT NO. S�S� ' <br /> g <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED �' � <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT �1 � ���� �� �� <br /> SITE ADDRESS <br /> PROPERTY IDENTIFICATION NO.(PID) <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OWNER (Name) (Address) (Phone) <br /> I � ' � / <br /> VAR. DATE ARCHITECT/ENGINEER- Must Certify Multi-Family,Com rcial& Indus rial Constructio Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE DATE <br /> LOT AREA BUILDER (Firm) (Address) (Phone) <br /> WIDTH D PTH <br /> TYPE OF WORK New Addition Remodei Renovate <br /> PROP E TBACKS: � N � � <br /> FRONT R.SIDE <br /> CONST.TYPE BUILDING SIZE Estimated Construction Valuation <br /> REAR L.SIDE ' <br /> LAKE WETLANDS L. W. Ht. <br /> OCCUPANCY PER�T FEES 9,�3 <br /> CLASSI FICATION <br /> ACCESS DWELL. STORIES B 1 2 3 BLDG. PERMIT � . <br /> UNITS STATE FEE ` <br /> NEW EXISTING GAR.STALLS NUMBER OF BEDROOMS <br /> AGENCY-APPROV. DATE qn. 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 /> . <br /> /��l TOTAL DUE <br /> REMARKS. '^ Cf/` <br /> INSPECT�ON REQUIRED WORK REQUIRING ACKNOWLEDGEMENT <br /> SEPARATE PERMITS THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> ❑ .. ... . FOOTING before pour <br /> ❑ . . . . . . FRAMING 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 /> . . . . . 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 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 /> GRADING&FILLING ............... ❑ <br /> OF MINNESOTA BUILDING CODE REQUIREME �` <br /> INSPECTIONS MUST BE CAILED-IN � <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ 9 �.��j� <br /> Si nature � Date_/����JS� <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> T <br /> CANARY-INSPECTOR GOLD-RECEIPT <br /> PINK-ASSESSOR Approved Cit of Orono <br /> Brooklyn Prtg.&Adv.Co.Inc. (612)561�470 <br />