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<br /> j7 O�' ������� PERMIT �� 4159
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<br /> � Building Permit DATE ISSUED —L��
<br /> ��
<br /> :"�P, i
<br /> AND APPLICATION FOR CERTIFICATE OF O�CUPANCY EXPIRE
<br /> ?.O. BOX 66, CRYSI"AL BAY, MN 55323 473-7357 l � � �
<br /> SITE ADDRESS - —
<br /> ZONING DISTRICT �
<br /> LEGAL DESCR IPTION: PP,OP. ID• SUE3DIVISION__
<br /> '" LOT ____----BLOCK
<br /> �lddress (Phone)
<br /> � �IRE ZONE �n/NER (Name) ' ��
<br /> a f
<br /> VAR. DATE -
<br /> ARCHITECT/ENGINEER — Must Certify Muiti Family,Commercial & Industrial Construction lans
<br /> ; (Phone)
<br /> � COND. USE DATE ERT.NO. (Firm) (Address)
<br /> � - LOT AREA (Phane)
<br /> � {S'' (Firm) (�ddressl
<br /> � �r, ' WIDTH D�PTH BUILDER ��� �2 ,3Su���v",�� �
<br /> � '�' � �-''``�2� Remodel t�� �Renovate
<br /> " ,k � PROPOSED SETBACKS ew Addition
<br /> R.SIDE TYPE OF�'JORK
<br /> FRONT �, `J �
<br /> �� REAR L.SIDE � EST.CONST.yyALUATIOh%
<br /> j;. , CONS7.TYPE BL G.SIZE �
<br /> i� �: � ��v
<br /> '�=" LAKE WETLANDS �/ �;�
<br /> �,����,s`�. �. bv. F.
<br /> :,�, � PERMIT � r.ES
<br /> � 3
<br /> � ACCESS RESiDEhT'A sTORi``s B � 2 BI.DG. PERMIT
<br /> NEW XISTIN DWELL. BDRMS/FLR3 -� = f STATE FEE
<br /> AGENCY-APPR . ATE UNITS pLAN REVIEW
<br /> GAR.STALLS SEPTIC
<br /> �+%�'� CITY TT APP.DATE pENALTY
<br /> �z� DET. N,�
<br /> ' ��� ^OUNTY � DOCK pARK FEE ��'�•
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<br /> r 2".:++� v NON-RESID. PROPOSED USE ��
<br /> ,,, SAC CHARGE
<br /> i ��, t STAT
<br /> �r�^�: ocC.
<br /> �, �z, R. EABGME ��ASS. �33
<br /> �xn ' sroRiEs courvci� TOTAL DUE
<br /> + 4d APP.DATE
<br /> :;}K' � �
<br /> .:���,'���, _
<br /> ��-.,�: �� REMARKS:
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<br /> w'��'S:
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<br /> � ` WORK REQUIRING ACKNOWLEDGEMENT
<br /> �' ` INS�'ECTION REQUIRED
<br /> " SEPARATE PERMITS THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
<br /> .� -,� %
<br /> �i wq� � ��OOTINGbetorepour THE REAL IMPROVEMENTS SPECIFIED, AND DECLF�RES
<br /> ,�e^+E � t/F�AMING rough-in pLUM61NG —+��--
<br /> ,� LFNSULATION n��;^AL_v -- UNDER PENALTV OF LAW ACKNOWLEDGEMENT AND ACCEPT-
<br /> �+^"� 1` ��ALLBOARD Before Taping MECHP. � � —
<br /> St�J �', W[LL - ANCE OF AL� INFORMATION, CONDITIONS AND REQUIRE-
<br /> ; ,
<br /> �c «,r� FINA�before occupancy _
<br /> + �` , f' � SEPTIC__� MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER—
<br /> ti�I., �� _
<br /> + � WORK DGYOND OR WITHOUT A RE- SEV'%ER __ SIGNED FURTHER AGREESTO DO ALL WORKS W STRICT CO -
<br /> �'"'+� � � QUIRED INSPECTION WILL BE SUB- •YyqT�R -- p��qNCE VVITH ALL CITY OF ORONO ORDINANCES AND STATE
<br /> r,y�,.' � JECT TO PENA�TY, (',�ADING&FILLING --
<br /> 3�r OF MINNESOTA BUILDING CODE REQUIREMcN7S.
<br /> INSPECTION HOURS 473•7357
<br /> � w CALL8-12 A.M. INSP. 1 -4 P.� E�ECTRICAL from State �-�� �
<br /> �,{,t� Date
<br /> f`. ( CALL 1 - 4 P.M. INSP.NEXT DAY Signature _�
<br /> _ : l�
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<br /> � �� GREEN—FINANCE /
<br /> `"�; COPY: WHI i E—FiLE ���" �iry of Oronc
<br /> „�� CANARY—INSPECTOR GO�D RECFIPT qpproved _ y � -------v
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