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CITY of ORO NO PERMIT 3728 <br />Building Permit,: <br />DATE ISSUED - <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 -� <br />ZONING DISTRICT SITE ADDRESS 13L -I -_ L7 <br />LEGAL DESCRIPTION: PROP. ID. <br />LOT `� BLOCK SURD IVISION/1CL�irYl� <br />FIRE ZONE <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />FRONT R.SIDE/ <br />c, <br />REAR L.SIDE <br />16-0 <br />LAKE WETLANDS <br />ACCESS <br />NEW EXISTING <br />AGENCY-APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />PR. EASEMENT <br />REMARKS:? / a-�; <br />DINER <br />(Name) <br />(Address) <br />(Phone) <br />ARCHI CT/ENGINEER <br />— Must Certify Multi -Family, Commercial & Industrial Construction Plans <br />ERT.NO. <br />(Firm) <br />_ <br />(Address) <br />(Phone) <br />BUILDER <br />(Firm) (Address) <br />(Phone) <br />TYPE OF WORK <br />ew Addition Remodel <br />Renovate <br />CONST YYPE <br />BLDG. SIZE <br />EST. CONST. VALUATION <br />-� <br />, <br />L. :14 <br />Ht. <br />RESIDENTIALSTORIES <br />B 1 2 3 <br />PERMIT F71,, <br />BLDG. PERMIT <br />a D <br />DWELL. / <br />BDRMS/FL <br />UNITS <br />1 �. f ,.r , <br />STATE FEE <br />PLAN REVIEW <br />G STALLS <br />SEPTIC <br />TT c-! <br />APP DATE <br />DIET. <br />PENALTY <br />oocK <br />PARK <br />NON-RESID <br />PROPOSED USE <br />SACCHARGE <br />f). <br />QCC. <br />CLASS. <br />STORIES <br />COUNCIL <br />/J� <br />APP. DATE <br />TOTAL DU <br />f O n, CAD <br />INSPECTION REQUIRED <br />i FOOTING before pour <br />FRAMING rough -in <br />r — INSULATION <br />&--- WALLBOARD Bore Taping <br />Ll FINALtgokoccupancy <br />WORK BEV CR WITHOUT A RE. <br />OUI INCTION WILL BE SUB- <br />J1111inPENALTY. <br />1 SPECTION HOURS 473-7357 <br />CALL B - 12 A.M. INSP. 1 - 4 P.M. <br />CALL i - 4 P.M. INSP. NEXT DAY <br />WORK REQUIRING <br />SEPARATE PERMITS <br />PLUMBING <br />MECHANICAL__ <br />WELL ----- <br />SEPTIC <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 REPRESE::TED 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 MINNEA BUILDING CO E REQUIREMENTS <br />J i <br />Signature` Date <br />M <br />COPY: WHITE --FILE GREEN FINANCE <br />CANARY -INSPECTOR GOLD RECEIPT <br />