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HomeMy WebLinkAbout1984-09-04 Permit, New Residence #5411CITYoTOKOXO Building Permit PERMIT XV 54111 AND APPLICATION FOR CERTIFICATE OF OCCUPANCY P.O. BOX 66, CRYSTAL BAY. MN 55323 473 7357 SITfc ADUHESS_____.7 1 LEGAL DESCRIPTION PROP ID J C' ~ P Y 7 LOT__________________BLOCK ______SUBDIVISION DATE ISSUED ^ H-V.W EXPIRES _____________ ZONING DISTRICT c.r.!<- FIRE ZONE VAR DATE COND USE DATE LOT AREA WIDTH DEPTH PROPOSEDSETBACKS FRONT RSIDE __kii___ ro' REAR L SIDE lake WETLANDS Ul^ ACCESS NEW I AGENCY AP ^ExisriNft.^ Pnoir D ate CITY , C^*<-*~* COUNTY A-f /iJ STATE TfR E AS! me NT REMARKS f\( /1 /vV <r»r>*ir£. DWNER (N*me) n CA rf^tc ^ f (Addf.fssl Aiuhi (PhonelVT/ VWt U c&nf^ A- A J ARCHITECT/E NGINE E R Must Certify Multi Family, Commercifl A fnflustnji Construction Pijni :ertno ___ (FirmI (Arktreu)(?hon€> BUILDER (Firm)(AddressI (Phont) ^ C« fc. FF.0 7-e^lL<i 1 TYPE OF WORK C N^ (.o L ^Attdition RemockrI 0 7 Renovatf vt: '> { CONST TYPt Hi IKi Sl/t 3T L Hi wDi N MAC H-3__ r>v\fiL E UNI J[^ (.AM STAI lS p\T T ? nil NON «rs*o [>cc: l A&& !pTOHI€S SToMMi, B BUMMS ^ L« Sf PTIC APP OAtf ( M u ► PMOPOMO uSi COtiNCiL Apr OAT I T‘iT CONST valuation 5 1 (J PERMIT FEES s oBLDG PERMIT STATE FEE PLAN REVIEW PENALTY PARK FEE SAC CHARGE 3 7.A 7% cle TOTAL DUE yf _ I Ad ___/*/ ___o , /-X _____________ INSPECTION REQUIRFD «¥ORK REQUIRING K roOTtNOM*m«pM«SEPARATE PERMITS ^ imiUiATlOil PtUMBINO WALLBOAIIO Tip.«^MfCHANKAi ^ --- fC ^ iNAt WrfLi f90mn if voND OP without a iu SfPTiC _ lC ................. QAjm^O iNtPiCTlON BMit if tU#MATffl.N _ JICT TOffNAitY iN«ri( TKim Huumt «/j rjBt CAii • A W liiBB 1 4 PM i*mAomn0 i r li i fifO........ C Ai it 4PM IMP Ni ■ T UA V tiiCTAHAi Not Sam ACKNnWLE CX*E ME NT TMf uNOf Wl4<»NtD H««lf BV WfOOffTf Pf ll«BBBiOA|TO«Arri TMI HIAl IBIP«K>VIMII|T& MC»#l€0 Amo OfCtMft UHDfm PtRlAiTY OP lAO ACJlNOttLiDGilitNt ANCf Of All tAifomiATioAi comofTom aabi •PfNTt MfPfIfStmffO Oil TM« OOCUAWNT Ti4i umOfA SiljMD fUMtHiO AOflBtt TO OO AAi «OflA« CQO» PilANTi IftTH Aik Cr?Y Of QiK»0 oro%AmCtE AfiO jt A?I COP»APHift flil CAmAAY liuBtc f%ym flAMK AmiAOtl UMtfil IMBANCI 0<H0 iifctirt