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(:1TY of t wAyt ) <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66. CRYSTAL BAY. MN 55323 473-7357 <br />ZONING ISTRICT <br />C, <br />FIRED TMENT <br />0 <br />POST OFFICE <br />V DATE I <br />CON SE DATE <br />LOT AREA <br />Z 3y <br />WIDTH_ DEPTH <br />5' 0� <br />PROPOSED SETBACKS <br />FRONJO S ASIDE 3 L) <br />I/ I <br />REAR L. SIDE <br />.,- <br />LAKE WETLANDS <br />U 6 I --- <br />ACCESS <br />NEW xll <br />AGENCY-APP <br />CITY <br />COUNTY <br />STATE <br />PRIVATE EASEMENT <br />REMARKS <br />SITE ADDRESS_ 2S W IV-,- t <br />PROPERTY IDENTIFICATION NO IPIDI <br />LOT BLOCK <br />OW FR �,- INamel <br />PERMIT NO. 5903 <br />DATE ISSUED s;t it Uc <br />1-7---x <br />SUBDIVISION <br />IAddressl <br />ARCHITECT'ENGINEER - Must Certify Multr•Farndy. Comme cla, 8 tnJustrill Construction Plans <br />I F1rm1 lAddressl (Phone) <br />BUILDER iFrrnn IAddresst IPhonel <br />ickri l !�4& fihc( <br />TYPE OF WORK Nr•w Additiem Remodel Renovate <br />CONST TYPEJ <br />BUILDING SIZE <br />SE,IjIe <br />rrl <br />L W <br />OCCUPANC <br />CLASSIFICATION <br />DWELL <br />STORIES B 1 2 <br />UNITS <br />GAR STALLS <br />NUMBER OF FiEDROOMS <br />ATT <br />OFT <br />SEPTIC <br />APP DATE <br />PROPOSED USt <br />COUNCIL <br />APP DATE <br />YIrJSP CTION REQUIRED WORK REQUIRING <br />FOOTING before pour SEPARATE PERMITS <br />FRAMING rough-m PLUMBING <br />INSULATION MECHANIC Al <br />WALLBOARD before tapinq <br />FINAL before oecupancv WELL <br />...... SITE INSPECTION SEPTIC <br />WORK BEYOND OR WITHOUT A RE SEWER <br />OLiRED INSPECTION WILL BE SUB. WATER <br />JECT TO PENALTY <br />INSPECTIONS MUST BE CALLED -IN GRADING A FILLIN(l. <br />24 HOURS IN ADVANCE I FIRE <br />COPY WHITE FILE- GREEN FINANCE <br />CANARY -INSPECTOR GOLD RFCEMY <br />PINK ASSESSOR <br />Fe..lvw M6 • Ae. Co -I -6171 561 6. r) <br />Estimated Construct )n Valuation <br />HI S V `, r <br />PERMIT FEES <br />BLDG. PERMIT q1D ._�m <br />STATE FEE <br />PLAN REVIEW <br />SAC CHARGE , <br />SEWER UNIT `-Y 6 2 v v <br />PARK FEE <br />PENALTY <br />OTHER [scn'mo 30. <br />10TAL FLUE 1 I9 s i) /1 <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNLD HEREBY REQUESTS PERMISSION TO MAKE <br />r✓ 'HE RE At IMPROVFMENTS SPECIFIED AND DECLARES <br />1Q INDER PENAI TY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br />ANCr OF AL. INFURMATION CONDITIONS AND REOUIRE• <br />MENTS REPRESENTED ON THIS DOCUMENT THE UNDER- <br />SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br />NIIANCE WITH ALI CITY OF ORONO ORDINANCES AND STATE <br />OF MINNESOTABUILDING CODE RFOUIREMFNTS <br />O„u.1a � � I 6 <br />—c-t-0 . <br />