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(A ITS' of OIts NO ) <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 <br />ZONING DISTRICT <br />/R 'r s <br />FIRE DEPiTMENT <br />POST OFFICE <br />VAR. DATE <br />COND. USE DATE <br />LOTAREA <br />c <br />wibT4 D PTH <br />PROPOSED SETBACKS: <br />FRONT R. SIDF <br />i <br />REAR__ L. SIDE <br />LAKE WETLANDS <br />ACCESS <br />NEW TIN <br />AGENCY-APPRO . TE <br />Y - <br />COUNTY <br />STATE <br />PRIVATE EASEMENT <br />REMARKS <br />PERMIT NO. 6139' <br />DATE ISSUED -� <br />SITE ADDRESS L 11 %/ (' / t� U _ <br />PROPERTY IDENTIFICATION NO (PID) — 7 - c-9 Z <br />LOT/BLOCK � — SUBDIVISION <br />OWNER (Name) (Address) y 7.]_L/r 7 <br />(Phone) <br />079 <br />ARCHITECT/ENGINEER - Must Certify Multi -Family. Commercia. & Industri I Construction Plans <br />(Firm) (Address) (Phone) <br />BUILDER (Firm) (Address) (Phone! <br />G <br />TYPE OF WQ14K , New J Addition Remodel Renovate <br />r� <br />CONST TYP <br />BUILDING SIZE <br />OCCUPANCY <br />CLASSIFICATION <br />DWELL <br />STORIES QB <br />UNITS <br />�-- <br />W �S Ht <br />1 l 2 3 <br />ALLS NUMBER OF BEDRSOMS <br />GS <br />+� J <br />DET. o•C SEPTIC <br />1APP DATE <br />PROPOSED USE <br />COUNCIL <br />APP DATE <br />Estimated Construction Valuation <br />' PERMIT FEES <br />BLDG. PERMIT <br />( <br />/ 7 _ <br />STATE FEE <br />PLAN REVIEW�_(�� <br />SAC CHARGE <br />SEWER UNIT�,,vV <br />PARK FEE <br />PENALTY <br />OTHER <br />TOTAL DUE / <br />IWORK REQUIRING ACKNOWLEDGEMENT SEPARATE PERMITS N ECTION REQUIRED <br />.... FOOTING before pour THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br />.... FRAMING rough -in PLUMBING THE REAL IMPROVEMENTS SPECIFIED AND DECLARES <br />INSULATION MECHANICAL UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br />...... WALLBOARD before taping p� <br />WE'_L ta( ANCE OF ALL IN CONDITIONS AND REQUIRE- <br />L ..... FINAL before occupancy <br />❑ ...... SITE INSPECTION SEPrIC MENTS REPRESENTED ON THIS DOCUMENT THE UNDER - <br />WORK BEYOND OR WITHOUT A RE- SEWER SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br />OUIRED INSPECTION WILL BE SUB- WATER ❑ PLIANCE WI1H AL_ CITY OF ORONO ORDINANCES AND STATE <br />JECT TO PENALTY. OF MINNEJTn4BUILDINGREO I MENTS <br />GRADING d FILLING ❑ 1 I <br />INSPECTIONS MUST BE CALLED -IN <br />24 HOURS IN ADVANCE. FIRE ❑ 1 R <br />COPY WHITE FILE GREEN FINANCE <br />CANARY -INSPECTOR GOLD -RECEIPT <br />PINK -ASSESSOR a ....• I - C <br />&iVn►n. aid. cu „K let:les+«ro <br />