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CERTIFICATE OF OCCUPANCY
TEMPORARY CERTIFICATE
Building Address: 665 ORCHARD PARK RD
PIN: 31-118-23-11-0005
Legal Description: Unplatted 31 118 23
Block 000 Lot 000
Zoning District:
Permit No: 2013-00100
Work Activity: Single Family
Construction Type: VN
Occupancy:
Occupant Load:
Fire Sprinkler: N
Applicant: Systems Built, inc.
Applicant Address: 5159 Main Street
City, State,Zip: Maple Plain, MN 55359-
Owner Name: William &Mollie Reynolds
Owner Address: 3630 Livingston Ave
City, State,Zip: Wayzata, MN 55391-
THE FOLLOWING ARE NOTED AS INCOMPLETE OR MISSING. THESE MUST BE
CORRECTED OR COMPLETED AND REINSPECTED WITHIN THE SPECIFIED
NUMBER OF DAYS OR THIS CERTIFICATE WILL BE VOID
Failure to correct these deficiences will cause occupancy violation citations to be issued
By September 25,2013
Pave driveway and vegetate yard
6" separation between grade and siding
Silt fence to remain up until vegetation is established
Submit as-built survey to Planning and Zoning department
I hereby agree to make the above corrections and to call for reinspection with the time allowed:
Owner/Contractor Date
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Building fficial&Zoning Administrator & City Engineer Date