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CITY of ORO1TO � �� • . __ <br /> � PERMIT -�� i 5121 � <br /> Bui�ding Permit 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 SITEADDRESS � T�" �/lt%�Q��/P,C.� ��'�— � <br /> LEGAL DESCRIPTION: PROP. ID. <� `� � ' �� Y- <br /> LOT b� �_S� BLOCK SUBDIVISION , -�� <br /> FIRE ZONE <br /> W R (Name) (Address) (Phone) <br /> VAR. DATE 1' �'-S� <br /> ARCHITECT/ENGINEER — Must rtify 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 /> PROPOSED SETBACKS <br /> FR T� R.SIDE,� i TYPE OF WORK New Addition Remodel Renovate <br /> � � C�l. '�-�--1._�1 - <br /> REAR � LSIDE f l' /+ � � <br /> � ��� CONST. TYPE BLDG. SI EST.CO T. VALUATION <br /> LAKE WETLANDS <br /> � <br /> L. W. Ht. 1 `—' <br /> � _, <br /> ACCESS RESIDENTIA STORIES � � 2 s PERiGIIT FEES <br /> BLDG. PERMIT -� L� <br /> NEW EXISTING DWELL. BDRMS/FLR � <br /> AGENCY-APPROV. DATE urvirs STATE FEE .,SC� <br /> CITY GAR. STALLS SEPTIC PLAN REVIEW <br /> AT APP. DATE <br /> COUNTY E . PENALTY <br /> DOCK <br /> STATE <br /> NON-RESID. PROPOSED USE PARK FEE <br /> PR. EASEMENT oCC. <br /> ,�j `-�-� �«� �� ��1 SAC CHARGE <br /> C LASS. G(' �/LQ `�� <br /> STORIES COUNCIL /� .. �\ <br /> APP. DATE TOTAL DUE � <br /> r <br /> REMARKS: <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 /> _FINAL before occupancy <br /> SEPTIC <br /> 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 ORONO ORDINANCES AND STATE <br /> GRADING& FILLING <br /> INSPECTION HOURS 473-7357 OF MINNESOTA BUILDING CODE REQUIRE ENTS. <br /> CALL 8 - 12 A.M. INSP. 1 -4 P.M. <br /> CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State <br /> Signature 62 + Date <br /> COPY: WHITE—FILE GREEN—FINANCE / <br /> CANARY—INSPECTOR GOLD—RECEIPT C�� <br /> PINK—ASSESSOR Approved City Orono <br />