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GITYorCHIONO <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66. CRYSTAL BAY. MN 55323 473-7357 <br />SITE AnnRFRS <br />PROPERTY lOEN^FICATION NO. IPIO) )• <br />/ .SUBDIVISION.^ <br />PERMIT NO. 5842' <br />DATE ISSUED <br />ZONII^DISTRI^ <br />POST OFFICE <br />FIRE DEPARTMENT, , <br />VAR. DATE <br />COND. USE DATE <br />LOTAREA^___^ AO. -t <br />WIDTH DEPTH .3r^o <br />PROPOSED SETBACKS: <br />FRON^^/R.SIDE <br />RE^LSIDE <br />3/ <br />LAKE WETLANDS <br />/c57' <br />ACCESS <br />EXISTING <br />WiNe^APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />il^iVA^ easemen F <br />LOT..BLOCK. <br />REMARKS:. <br />__t>0/Q <br />fc>ir\yJ<Nv> lyf'^iTK <br />OWNER (Name)(Address)(Phone)WVViTic.r« -----------—1 <br />ARCHITECT/ENGINEER - Must Certify Multi-Family. Commercial & Industrial Construction Plans <br />(Firm) (Address) (Phone) <br />BUILDER (Firm) (Address) (Phone) <br />TYPE OF WORK Addition Remodel Renovate <br />k)-(>x C\ OO <br />CONST. TYPE BUILDING SIZE <br />L. W. Ht. <br />Estimated Construction Valuation <br />4^/^. cm <br />OCCUPANCY <br />CLASSIFICATION <br />PERMITTEES <br />ni Pii-i DCOMIT ^ r OC.3 <br />DWELL, j <br />UNITS / <br />STORIES B 1 3 <br />STATE FEE / Q_0 <br />GAR. STALLS ATT. Jl <br />DET. <br />NUMBER OF BEDROOMS PLAN REVIEW 3V/ .-S-O <br />SAC CHARGE ^-0- <br />SEWER UNIT <br />PARK FEE <br />PENALTY <br />SEPTIC <br />APP. DATE /A-/- 5 S <br />PROPOSED USE <br />COUNCIL OTHER <br />TOTAL DUE f^ <br />INSPECTION REQUIRED <br />... FOOTING belore pour <br />...........FRAMING rough-in <br />... INSULATION <br />... WALLBOARO belore taping <br />... FINAL belore occupancy <br />□...........SITE INSPECTION <br />WORK BEYOND OR WITHOUT A RE­ <br />QUIRED INSPECTIQN WILL BE SUB­ <br />JECT TO PENALTY. <br />INSPECTIONS MUST BE CALLED-IN <br />24 HOURS IN ADVANCE <br />WORK REOUIRING <br />SEPARATE PERMITS <br />PLUMBING............... <br />MECHANICAL............ <br />WELL....................... <br />SEPTIC..................... <br />SEWER..................... <br />WATER..................... <br />GRADING & FILLING . <br />FIRE........................ <br />COPY: WHITE-FILE <br />CANARY-INSPECTOR <br />PINK-ASSESSOR <br />■iMkl>nmt.aAi)>.Ca.l<ic. ll1»MI-44?a <br />GREEN-FINANCE <br />GOLD-RECEIPT <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br />THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES <br />UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT­ <br />ANCE OF ALL INFORMATION. CONDITIONS AND REQUIRE­ <br />MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER­ <br />SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM­ <br />PLIANCE WITH ALL COY OF ORONO ORDINANCES AND STATE <br />OF MINNESOTA BUI^NijrCODE R.^0tJlliEMENTS. <br />:itv of Ofono