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CITYof ORONO PERMIT ��) 5453 � <br /> Building Permit - �/ <br /> DATE ISSUED �� �� � ✓ <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br /> P.O. BOX 66, CRYSI-AL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT SITE ADDRESS Z�I/� C�SCv �� ��4� <br /> / � _ ] � LEGAL DESCRIPTION: PROP. ID. <br /> � � LOT BLOCK SUBDIVISION <br /> FIRE ZONE <br /> WNER (Name) (Address) (Phone) L�7( - <br /> VAR. DATE�I�-}d�,j�(,�/� /f.— ��I J� �CL� � I <br /> ARCHITECT/ENGINEER — Must Certify Multi-Family, Commercial & Industrial Construction Plans <br /> COND. USE DATE ERT.NO. <br /> (Firm) (Address) (Phone) <br /> LOT AREA <br /> WIDTH DEPTH BUILDER (Firm) (Address) (Phone) <br /> _ ��-�P�JJ �'�n�ST� S3S3 �a~rZ� �c-v-� �f� -3��5 <br /> PROPOSEDSETBACKS <br /> FRONT R.SIDE TYPE OF WORK Ne Addition Remodel Renovate <br /> REAR � L.SID a � �j <br /> CONST TYPE BLDG SIZE EST.CONST. VALUATION <br /> LAKE WETLANDS � <br /> �— L. Z_� W. � Ht. I ��' � � <br /> / <br /> ACCESS RESIDENTIA STORIES B 1 2 3 PERMIT FEES $Y� <br /> BLDG. PERMIT � � <br /> NEW EXISTI DWELL. BDRMS/FLR � <br /> AGENCY-APPROV. DATE UNITS STATE FEE '� <br /> CITY GAR.STALLS SEPTIC <br /> ATT. APP. DATE PLAN REVIEW <br /> COUNTY DET. '� PENALTY <br /> DOCK <br /> STATE NON-RESID. PROPOSED USE PARK FEE <br /> PR. EASEMENT oCC. SAC CHARGE <br /> C LASS. <br /> STORIES COUNCIL �j �" �� <br /> APP. DATE TOTAL DUE !r J�� — <br /> REMARKS: <br /> 1/�-t�c_€ ,�-P PL-I c � c:�-° t�t-�-t�r��w N - ,�v��..� la��C� h^�'-S <br /> r�'� _s��-i�-S <br /> INSPECTION REQUIRED WORK REQUIRING ACKNOWLEDGEMENT <br /> FOOTING before pour SEPARATE PERMITS <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> FRAMING rough-in <br /> INSULATION PLUMBING THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES <br /> WALLBOARD Before Taping MECHANICAL UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> WELL ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br /> F I NA L before occupancy <br /> SEPTIC MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER— <br /> WORK BEYOND OR WITHOUT A RE- SEWER <br /> QUIRED INSPECTION WILL BE SUB- SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM- <br /> WATER _ <br /> JECT TO PENALTY. PLIANCE WITH ALL CITY OF OROfVO OgDINANCES AND STATE <br /> GRADING& FILLING _ , <br /> INSPECTION HOURS 473-7357 <br /> CALL8 - 12 A.M. INSP. 1 -4 P.M. OF MINNES9�A�UILDING CO E IREMENTS. <br /> CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State / <br /> v ' " �. � <br /> Signature � t"Uate� <br /> COPY: WHITE—FILE GREEN—FINANCE <br /> CANARY—INSPECTOR GOLD—RECEIPT <br /> PINK—ASSESSOR Approved City of Orono <br />