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(:IT1' of ( )RO N ) <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473.7357 <br />ZONIN D TRICT SITE ADDRESS_ <br />LEGAL DESC�iIPTION: PROP. ID. <br />—1 J LOT Y BLOCK <br />I FIRE ZC;NE" L <br />F�� } <br />VAR. DATE <br />COND. USE DATE <br />LOT AREAV- � <br />WIpTH DqJ10, <br />PROPOSED SETBACKS <br />FR,,T/ R.SI <br />R �(,� / L.SIDE �f i <br />�� � <br />LAKE WETLANDS <br />/ . • <br />ACCESS' <br />NEW EXISTING <br />AGENCY-APPR DATE <br />CITY <br />COUNTY <br />STATE <br />REMARKS 1/T( <br />PERMIT No _- 5362 i <br />DATE ISSUED <br />SUBDIVISION <br />ER INa - <br />(Address)) • L---Phone) <br />Cneraillf J <br />t ►c <br />09 4 <br />ARCHITECTr�NGIN ER �� t C rtrfynnMulti Family, Commercial & Industrial Construction Plans <br />ERT.NO __�____S.4V-1 <br />�— <br />(Firm) <br />(Address) <br />(Phone) <br />BUl LDF R i F it m) <br />(Address) <br />(Phone) <br />TYPE OF WORK New <br />oc_A-4 ' Dyv- <br />Addition Remodel <br />a <br />Renovate <br />CONST TYPE <br />I <br />BLDG SIZE <br />- <br />EST CONST VALUATION <br />L <br />W ru <br />IaE51UENTIA <br />STORIES 1 <br />I/ <br />PERMI <br />FEE <br />2� <br />BDRMS1FLR <br />BLDG. PERMIT <br />�fp <br />O <br />:)WELL <br />uNIT: <br />STATE FEE <br />PLAN REVIEW <br />r,AH STALLS <br />SEPTIC <br />\TT <br />APP DATE <br />Lt <br />PENALTY <br />DOCK <br />PARK FEE <br />(,0 0A, <br />RESIO <br />PROPOSED USE <br />SAC CHARGE <br />rA <br />INON <br />OCC <br />CLASS <br />COUNCII_ <br />u� <br />I <br />STORIES <br />APP DATL <br />TOTAL DUE <br />1 If � <br />INSPECTION REQUIRED <br />FOOTING betae pour <br />V / FRAMING tough in <br />INSULATION <br />WALLBOARD Before Tapmy <br />FINAL before occupancy <br />WORK BEYOND OR WITHOUT A RE <br />QUIRED INSPECTION WILL BE SUB <br />JECT TO PENALTY <br />INSPECTION HOURS 413 7357 <br />CALLS 12 A M INSP 1 4 P M <br />CALL 1 4 P.M INSP NEXT UAY <br />WORK REQUIRING <br />SEPARATE PERMITS <br />PLUMBING rt` _ <br />MECHANICAL✓ <br />WELL 1(-' <br />SEPTIC Y <br />SEWER _ <br />WATER <br />GRADING & FILLING <br />ELECTRICAL from State <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br />THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES <br />UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br />ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br />MENTS REPRESENTED ON THIS DOCUMENT THE UNDER- <br />SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM- <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />OF MINNE A BUILDING COD EOU� J`7 S. <br />S gnature 1 1� Dab i \ <br />COPY WHITE FILE GREEN FINANCE. <br />CANARY INSPECTOR GOLD RECEIPT <br />PINKASSESSOR <br />