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CITY of ORONO _ _ <br /> Building Permit PERMIT NO. 600 ' <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED (2 ^L2 e; <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONIN DISTRI T SITE ADDRESS 555 ) ti00-00Ola.A)en . / <br /> KO ib PROPERTY IDENTIFICATION NO.(PID) 33 - 11 F- ,-2. -. � <br /> - 1-)/-coo 7 <br /> FIRE DEPARTMENT <br /> L_.. <br /> LOT I BLOCK / SUBDIVISIONW,06 ith,✓€l7 <br /> POST OFFICL Lt OWNR (Nam (Address) (Phone) <br /> / dile_ ""/� <br /> VAR. DATE ,__.— ARCHITECT/ENGINEER- Must Certify Multi-Family, Commercial& Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE DATE <br /> LOT AREA BUILDER (Firm) (Address) (Phone) <br /> p (-- o n�� <br /> WIDTH DEPTH <br /> 2,-...,;(2_, if/ 3 ' TYPE OF WORK New dditio Remodel Renovate <br /> PROPOSED SETBACKS:CD X /a- 3&r"e n P,r(1,k- <br /> FRONT R. SIDE � <br /> CONST.TYPE BUILDING SIZE Estimated Construction Valuation <br /> REAR L. SIDE } <br /> cm2-061`," OU L. L,1 W. 1�' Ht. (:)-zp® UU <br /> LAKE WETLANDS <br /> _ OCCUPANCY PERMIT FEES <br /> '� CLASSIFICATION <br /> ACCESS DWELL. STORIES B 1 2 3 BLDG. PERMIT 3.� -s <br /> UNITS , STATE FEE /' 43° <br /> NEW EXISTING GAR.STALLS NUMBER OF BEDROOMS / <br /> AGENCY-APPROV. DATE ATT. PLAN REVIEW /(g . J Sr <br /> CITY DET. SEPTIC <br /> SAC CHARGE <br /> APP. DATE <br /> COUNTY PROPOSED USE SEWER UNIT <br /> STATE PARK FEE <br /> PENALTY <br /> PRIVATE EASEMENT COUNCIL <br /> APP. DATE OTHER <br /> REMARKS: TOTAL DUE , 7 s---- <br /> INSPECTION REQUIRED <br /> WORK REQUIRING ACKNOWLEDGEMENT <br /> SEPARATE PERMITS <br /> FOOTING before pour THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> I,A FRAMING rough-in PLUMBING ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES <br /> ❑ INSULATION MECHANICAL ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> 0 WALLBOARD before taping ❑ ANCE OF ALL INFORMATION. CONDITIONS AND REQUIRE- <br /> D <br /> before occupancy WELL <br /> SITE INSPECTION SEPTIC ❑ MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <br /> WORK BEYOND OR WITHOUT A RESEWER ❑ SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br /> -QUIRED INSPECTION WILL BE SUB- WATER ❑ PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> JECT TO PENALTY. OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> GRADING&FILLING EI <br /> INSPECTIONS MUST BE CALLED-IN <br /> 24 HOURS IN ADVANCE. FIRE El <br /> Signa 44/il E' 4:: "-Date (/y <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT Q <br /> PINK-ASSESSOR Approved •b/.]/�- e-_, City of Orono <br /> Brooklyn Prtg.&Adv.Co.Inc. (6121 561-4470 D_ <br />