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� � o� (���O1�(➢ _ _ <br /> ���1� � . . PERMIT N� _ • 483'7 ( <br /> � ���'�i11t <br /> �PPLICATION FQR CERTIFICATE OF OCCUPANCY DATE ISSUED �� — � <br /> DX 66, CRYSTAI. BAY, MN 55323 473-7357 EXPI RES <br /> 1NG DISTRICT S�TE AODRESS_�S�S CIQCSTl11 Et,J <br /> LEGA� DESCRIPTION: PROP. ID. OS— / � 7— Z3 / �! QpZ / <br /> ZONE LOT BLOCK SUBDIVISION <br /> WNER (Name) (Address) <br /> DATE (Phone) <br /> �7.5'- b7S <br /> ARCHIT /ENGINEER — Must Certify Multi•Family, Commercial & Industrial Construction Plar <br /> . USE DATE ERT.NO. <br /> �REA (Firm) (Address) (Phone) <br /> -� DEPTH BUILDER (Firm) (Address) (Phone) <br /> )SED SETBACKS <br /> T R.SIDE TYPE OF WORK New i �on Remodel Renovate <br /> C <br /> � L.N E Q� S�O�.` '— L 1 U 1 f1 �IM, "' �ED��Q 1'1l` <br /> G CONST. TYPE BLDG. SIZE � <br /> WFTLANDS EST, CONST, VA�UATION <br /> �. �.�- W. ��- Ht. a 3 000 . ao <br /> aS RESIDENTIA STORIES B 1 2 3 PERMIT FEES <br /> BLDG. PERMIT S� <br /> 'd EXISTING DWELL. BDRMS/FLR <br /> :Y-APPROV. DATE UNITS STATE FEE �� ,SO <br /> GAR. STALLS SEPTIC QC <br /> ATT. APP. DATE PLAN REVIEW , <br /> �y �ET. PENALTY 8 ,SC <br /> DOCK <br /> NON•RESID. PROPOSED USE PARK FEE <br /> �EMENT OCC. SAC CHARGE <br /> C LASS. <br /> STORIES COUNCIL <br /> APP. DATE TOTAL DUE �7� S� <br /> :�s: U��� C ��TZ K�t t'f� -- a e - <br /> ` "'_ a c�r-r o S � <br /> �TION REQUIRED WORK REQUIRING ACKNOWLEDGEMEPJT <br /> •FOOTINGbeforepour SEPARATE PERMI'fS <br /> FRAMING rough•in THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO � <br /> INSULATION PLUMBING THE REAL IMPROVEMENTS SPECIFIED, AND DECL <br /> WALLBOARD Before Taping MECHANICAL UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND AC� <br /> _ FIN4Lbefore occupancy WELL -- ANCE pF ALL INFORMATION, CONDITIONS AND REQI <br /> SEPTIC <br /> - MENTS REPRESENTEO ON THIS DOCUMENT. THE UNC <br /> 3EYOND OR WITHOUT A RE• SEWER <br /> ) INSPECTION W1LL BE SUB• WATER SIGNED FURTHER AGREES TO DO A�L WORKS IN STRICT <br /> � PENALTY ~— <br /> GRAOING & FILLING_ PLIANCE WITH L CI i'Y OF ORONO ORDINANCES AND Sl <br /> CTION HOURS 473•7357 <br /> 8 • 12 A,M, INSP. 1 •4 P,M. OF MINNESO A B ILDING�ODE REQUIREMENTS. <br />