HomeMy WebLinkAbout1983-08-26 Permit, New Residence #5110I
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Buildin Permit
PERMIT N° _ 51101
DATE ISSUEDrs—._
AND APPLICATION FOR LERTIFICATE OF OCCUPANCY EXPIRES —
P.O. BOX 66• CRYSTAL BAY. MN 55323 4737357 � � 11
ZONING DISTRICT
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FIRE ZONE
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VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
R51"IJ "T R.SIDE
�°v �? 3
REAR L.SIDE
Sr
LAKE WETLANDS
Sn,
ACC
t;E!': EXISTI%G
A NCY APPROV. DATE
ITY J _
COUNTY
STATE
PR. EASEMENT
REMARKS:
SPIE ADDRI.SS--- ✓f�S-C� Crrr,er., .Jit —
LLGAL DESCRIPTION: PROP. 10. met Ac _°G' -H -L 23 12 die*—'7 ,�v &42
LOT —BLOCK _— __— SUBDIVISION
)WNER (Name) {Address) •� (Phone) '/
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AHCHITECT'ENGINEER Must Certify Multi -Family, Commercial & Industrial Construction Plans
,ERT.NO.
IFlrm) (Address) (Phone)
BUILDER (Firm)
'Address)
(Phone)
TYPE OF WORK New Addison
Remodel Renovate
11,Ef.HANir
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WELL __
CO'aST TYPE
P.LDG S17E
EST C9NST. VALUATION
SEWER
WATER
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SIE S!DEVt a•;,
570"IFS H 2 i
PERMIT FEES
00
BLDG. PERMIT 1jQ:; —
OV- IL, LHDRMS
FLR
Cir
4s'
UNIIS
STATE FEE
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PLAN REVIEW &/
e4�• :,TALL�l
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SEPTIC
APP DATE
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PARK FEE � a✓ 1.-I. n .414
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PROPOSED USE
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SAC CHARGE 4,2 S�
OCC
CLASS
STORIES
COUNCIL
APP DATE
�.
TOTAL DUE /.c^
INSPECTION REQUIRED
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INSULA'ION
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F INAL befo:c ouuPonri
WORK BEYOND OR WITHOUT A RE
OUIRED INSPECTION WILL HE SUR
JECT TOPF.NALTY
INSPECTION HUUHb, 41.;
CALL R 1.' A M IN'& 1 4 1"
CAL 1. I 4 I'M INS'' :I. XT OA
WORK REQUIRING
SEPARATE PERMITS
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COPY
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COPY WHITE: FILE GIIFEN I INANCF.
CANARY INSPt C FOFI W 0 0 HI CLIPI
PINK ASSFSS014
ACKNOWLEDGEMENT
THF UNUFRS:..• ) HF:Rt HY RF01IFSTSPERMI•iSIONTOY
THE REAL iVc.rNTS SPECIFIED. AND DECLI
UNDER PEND.:.. F LAVI ACKNOWLEOGEMFNT AND ACC
ANr,F OF A+ I r�RMATION. CONDITIONS AND REOL
MENTS REPI.ESrNT"-D ON THIS DOCUMENT THE UNC
SIGNED FUR7 :`P - -PEES TO DO ALL WORKS W STRICT I
114 IANr.F VIM: ..' r+T: VF 014nNO ORDINANCES AND S'
OF MINNE£')', - ^'C!C CODE REQUIREMENTS
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AL -
WELL __
SEPTIC—_
_
SEWER
WATER
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1 IL I,IN(i
F LI C11+If.AI. I• -n-
COPY
m
COPY WHITE: FILE GIIFEN I INANCF.
CANARY INSPt C FOFI W 0 0 HI CLIPI
PINK ASSFSS014
ACKNOWLEDGEMENT
THF UNUFRS:..• ) HF:Rt HY RF01IFSTSPERMI•iSIONTOY
THE REAL iVc.rNTS SPECIFIED. AND DECLI
UNDER PEND.:.. F LAVI ACKNOWLEOGEMFNT AND ACC
ANr,F OF A+ I r�RMATION. CONDITIONS AND REOL
MENTS REPI.ESrNT"-D ON THIS DOCUMENT THE UNC
SIGNED FUR7 :`P - -PEES TO DO ALL WORKS W STRICT I
114 IANr.F VIM: ..' r+T: VF 014nNO ORDINANCES AND S'
OF MINNE£')', - ^'C!C CODE REQUIREMENTS
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