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(:ITS' of ORI NO <br />Building Permit <br />AND APPLICATION FORCER rIFICATE OF OCCUPANCY <br />P.O. BOX 66. CRYSTAL BAY, MN 55323 473 7357 <br />ZONING DISTRICT <br />L!�- lL _ <br />FIRE ZONE <br />VAR DATE <br />COND USE DATE <br />LOT AREA <br />' A C. &E <br />WIDTH DEPTtI <br />PROPOSED SETBACKS <br />FRONTf R.SIDF <br />REAR L SIDE <br />it 2.5 <br />LAKE WETLANDS <br />ACCESS <br />NEW EXISTING <br />AGENCY APPROV. DATE <br />CIT <br />A ICx < _ <br />COUNTY <br />STATE — - - <br />PR.EASEME.NT <br />REMARKS <br />INSPECTION REQUIRED <br />FOOTING bero,e p,w, <br />J _ _ FRAMING rough .n <br />f INSULATION <br />- WALLBOARD Se4ne T.g. <br />F I04AL tletore mtupan., <br />WORK BE YOND OR WITHOUT A RE <br />QUIRED NSPECTION WILL BE SUB <br />TOPENAI *Y <br />INB►E C'I RS e8^�3T <br />CALLS I ,(PM <br />CA IT I PM INSP NEXT fY" <br />PERMIT ,y!� _ 5224, <br />DATE ISSUED <br />EXPIRES <br />SITE. ADORI.SS '402-7 C&.co-_LEjeLLe <br />LEGAL DESCRIPTION. PROP ID. TIr <br />L07 _ BLOCK .__ SUBDIVISION 4ei <br />WNFR (Name) (Address) <br />(Phone) ' e'3 <br />RCHITECT/ENGINEER - Must Certify Multi -Family. Commercial & Industrial Construction Plans <br />RT.NO -FF _ <br />(Fm)--- <br />�BUILDEF+ IFnrnl 7j3;jpd�fJUA/ir Aj <br />44- 'w.. <br />k1YPSEF WORK <br />TYPE BLD(, SIZE <br />NTIA1, SIIJNIES E <br />DWELL BURMS FLR <br />UNITS <br />STALLS <br />T SEPTIC <br />'s APO DATE <br />UtT <br />RESID I PROPOSEDUSE <br />CLASS <br />STORIES <br />COUNCIL <br />APP DATE <br />Irum S,e,e <br />COPY WHITE FILE GREfN FINANCE �T----- ' <br />CANARY IWSPt CTUH GOLD RECEIPT <br />PINK ASSESSOR <br />Addition <br />Remodel <br />EST' ONST VALUATION <br />3c 325 One: , <br />�J PERMIT FEES <br />BLDG. PERMIT /QOM. 0 <br />STATE FEE _�_� 7_ , Sn <br />— PLAN PEVIEW SO'fe or <br />PAHKFEE —L_ <br />rfIARGE 925.0Ci <br />(Phone) y 73 <br />Renovate <br />TOTa ! DUE 2 ii7f/ So <br />WORK REQUIRING ACKNOWLEDGEMENT <br />SEPARATE PERMITS <br />� THE UNDERSIGNED HEREBY NEOUE STS PERMISSION TO MAKE <br />PL Ury MtlITHE HEAL IMPROVEMENTS SPECIFIED AND DECLARES <br />+NECHntin UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT <br />,YELL ANCE Of A!L INFORMATION CONDITIONS ANO REOUtRE <br />� <br />f PTIC <br />'eWEN MENTS REPRESENTED ON THIS DOCUMENT THE UNDER <br />`/F <br />�fYAT ER SIGNED FURTHER AGREES TO UU ALL WORKS IN STRICT COM- <br />'iRADING S / IL, i^. ►LIANCE WITH ALL CITY �„ ORONO ORDINANCES AND STATE <br />Of MINNESOTA BWLDMIG COQ RE OU <br />MEMf.NTS <br />ELECTRICAL <br />_- -- L1tis <br />a l <br />