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CITY life OR NO PERMIT N" _ 55631 <br />Building Permit <br />DATE ISSUED 3 <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br />P.U. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br />ZONING DISTRICT SIT': ADDRESS � ►�iY�`�,d�� 1� <br />LEGAL DESCRIPTION: PROP. ID. _ ______` _.____ L C `�`/L <br />I0T `L RLOCI' Z SUBDIVISION/OU.1foii-l a ri�11t(L� <br />FIRE ZONE <br />VAR. DAzIA <br />COND. USE DATE <br />LOT ARF <br />Z �'tcr G <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />FRONT R.SIDE f <br />110 1 . __- <br />REAR; L SIDE <br />i 1-c'---- II r - <br />LAKE WETLANDS <br />ACCESS_ <br />(NoZi' EXISTING <br />AGENCY-APPROV. DATE <br />CITY <br />CUUNIY <br />STATE <br />Eta v�� <br />REMARKS <br />INSPECTION REQUIRED <br />✓ FOOTING before pour <br />FRAMING rough in <br />f�_ INSULATION <br />__ WALLBOARD Before Tap,mt <br />F INAL before occupancy <br />WORK BEYOND OR WITHOUT A RE <br />OUIRED INSPECTION WILL BE SUB <br />j,;CT To PENALTY. <br />INSPECTION HOURS 4737357 <br />CALL 8 12 A M INSP t 4 P M <br />CALL 1 4 PM INSP NE>'T )AY <br />COPY: WHITE --FILE <br />CANARY -INSPECTOR <br />PINK -ASSESSOR <br />(Name) <br />(Address) (Phone) <br />, .:ylka S <br />4-)`�X 1161112NGINEER <br />-- Must Certify Multi•Family, Commercial & Industrial nstruction Plans <br />F <br />Firm) (Address) (Phone) <br />RLD (F irm) (Address) (Phone) <br />' t -i a -rw- 2,k. <br />c -4 -7 4, D 18 �f <br />TYPE OF''WORK <br />RK Nem Addition <br />Remodel Renovate <br />( � 1 <br />WEW „l stcb_L'`Ql_y - <br />CONST TYPE <br />Of UG SIZE <br />EST, CONST VALUATION <br />-- <br />I L Z- W . Ht <br />2� <br />f G D��r. <br />- -_-,_ <br />PERMIT FEES <br />RETIAL <br />STORIES B I z + <br />LTE <br />BDRMSrFLR <br />A+J C <br />BLDG PERMIT <br />STATE FEE <br />PLAN REVIEW^. S <br />_ <br />DWELL. <br />;NILS I <br />H STALLS <br />SEPTIC <br />APP DATE <br />_ <br />_ <br />c 1 <br />PENALTY <br />DOCK <br />S u <br />PARK hEF b <br />%l+r`1 <br />CSN RESUIPROPOSED <br />USE <br />SAC CHARGE <br />1C( <br />CLASS <br />COUNCIL <br />APP DATE <br />STORIES <br />TOTAL DUE d <br />WORK REQUIRING <br />SEPARATE PERMITS <br />,UMBIN(; <br />ECHANICAL _ <br />SEPTIC <br />SEWER _ <br />WATER <br />GRADING & FILLING - <br />ELECTRICAL from State <br />GREEN -FINANCE <br />GOLD- RECEIPT <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY REOUESTS 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 REOUIRE- <br />MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER -- <br />SIGNED Ft11THER AGREES TO DO ALL WORKS IN STRICT COM- <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />OF MINNESOI,I B�ILDING CODE REQUIREMENTS <br />Signature <br />Appr uvecl <br />mommow <br />tY of Orono <br />