��.
<br /> �
<br />- a °' d ? -�°s'�^��,,�� .
<br /> �,�� i- ' , � ,-r±;e �Gax�'���t",�'�z"9'Y.'..'�er�
<br /> fi a'�,z" , �r ���� �
<br /> �:CtTj'of Oiat)�'O ` � �� : � � ��,.
<br /> � . . . 11�. � 5480C ��.
<br /> PERMIT n �,�
<br /> � Building'Permi t r ; p �
<br /> ° DATEJSSUE\,. ��9 "�.
<br /> ; ANU APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPfRES
<br /> ��.P.O.BOX 66,CRYSTAL BAY,MN 55323_ 473-7357 �n �
<br /> � ZONIN DISTRICT
<br /> 51?EADDRESS S �� C�^-�' Yryph
<br /> LEGAL DESC�PTION:PROP_ID.__� ' ^
<br /> �� ✓ COT BLOCK:`� St1ED{VtS10N,�
<br /> ' FIRE ZONE
<br /> ,�;";' ,�, ' ER IN tA dress) r/LIIIL�' (Phone) c
<br /> �VAR,DATE � � jyt�
<br /> r,�, "�` ` ' ARCHITECTiENGfNEER—Must Certity Multi-Family,Commere' ar IndustriN ConStrucOon Plans'e' '
<br /> COND.L1SE DATE -
<br /> � ERT.NO, __ , ;
<br /> + (Firme (Address) i (�onal
<br /> � LOTAREA O , �
<br /> � Wf�LiD� DEVTH � BUILDER (Firml fAdtlress) ! (Phonef �
<br /> ��
<br /> �� PROPOSE�SETBACKS � S �• � �t ` ' r
<br /> `; FRO � R.SID � TYP OF tiVORK Addtion Rematet penovate` a
<br /> �b; �,�, '
<br /> � .RE L.SIDE � f r�
<br /> CpNST.TYPE BLDG.SIZE � � EST,CO � T.VAIUATION � �,�
<br /> � LAKE. WETLANDS � � � ;-
<br /> �x, - � � D �
<br /> ; < <v �.� _ . � , t:
<br /> � �E� � �
<br /> rtcs Nziatf sroWies a i a a PERMIT FEE
<br /> ��� ' - : 3LDG.PERM{T � -�' �
<br /> r ,z��NEW, . EXISTING ;vc�� eoAti+s�r�a „
<br /> AGENCV•APPROV.OATE , .;,�y / 3 STATEFEE , �' 2�
<br /> CITY,,.; , • � sra�u scrnc � �
<br /> -�;, n r r � avv onie PLA�d RCVIEW � •
<br /> � COUNTY � =r PENaLTv , �
<br /> ocrcK
<br /> � STA7E "mN r+ESiU. v�oPOSEDusE PFiRK FEE �J'- �K` �}
<br />- at ;:.s , �. . . ��.. . ��.:
<br /> SACCHARCE ��5- �''
<br /> � VR.EASE1'ENT occ. �f as� �
<br /> CLA55 �
<br />... �, ��^ ; '� $iORIfS�. . ..COUNCIL� ,� . � �.•.. . . .
<br /> � ;.n� '�� Avr oaT� T07AE DUE �q•T� �
<br /> _�l \ �
<br /> �t�REMARKS: _ � W I��1 �ti, 'I� � ��
<br /> �
<br /> � =s r � � R�
<br /> "Ms' k�Ll � .. J ...
<br /> �F T',r?*:i#y a .. �� i _� � �_ ' � -> 3fi �
<br /> � c
<br /> �i 4�:,.o a '. �. . ��.. , � � .. . '.,+,.
<br /> } �.. ' ' ' . ,.. . .. � . � �r'�1�.�
<br /> � INSPECTION REQUIRED WORK REQUIRING � �� ACKNOWLEDGEM1ENtT ;�;��
<br /> $, ,�f�,_FooTiN�n,rw.p,w, SEPARATE PERMITS , �
<br /> %� � ..� � ��TNEUNDERSIGNEOMERESVNfOVf51SVLNM1�d10MTOMAK�,��i,,,
<br /> jl .c .'v- ..iNAMING rpplr�n . . � . . . . .. . ...
<br /> k �r INSUlAT10N ..:. iWM8M4�/ _ �.THE NEqL :�IMVROVEMENT;�.-ffiEC�fIED, AND DECLAII�f,.�
<br /> �WALLBO/�RD 8e1ae Tqmp MECHANtCAC 4� ...__ UNOER GENALTV OF LAW ACKNDYYI.EDGEMENT'ANDACCE/T�gs��
<br /> �."'P',_`..�. � � WEIL�..._..__. -
<br /> F I . .... _ ..
<br /> � � ' NALbdw�oocupincy .`� � -'�^- � -.ANCE OF ALi�INiOfiMATIpM, CONDITIONS AND REQUIpEr��
<br />� � �':�.,a� �:�,� . � ..: �. ... .. SECTIC .�-�._..y .:. . . , �... �. :. ,,,.,.r.,• ��.
<br /> � ` '-' MEN7S REMtE5EN7kD"ON THfE DOCUMENT.:.TME UNOE
<br /> ��WORK BEYOND OR WITNOUT A R6 ��- SEWER(,G_. � � � ;,,,r�. �
<br />� � . �. : ...,__•._____�-.-..__..- �� :. � . � . . ., . .
<br /> --OUMEOINSVECTIONWILL�.pESU& %� yyA7ER(,� ' SIGNEDFURTHERAGREESTODQALLWONKfYkS7111CT ��'
<br /> 2 r
<br /> � �ECT,TOPEN/.L7Y. � �. � 4RADING&i1LL�NG_ � 7UANCEWRH.ALLCITVOFOqpNpORDINANCESANO{TAT[ �-
<br /> v,INdIEC�IQN HpUqS �717�57 OF MINNESOTR BUILD{N4CODE RE�t1�NEMENTd, sa�`Y��'
<br /> 5
<br /> :C.ALLi�/�AM.IN$V.1,4V.M..�
<br /> 4 �CALL 1 •_Y,l1,IN$7.NEXT DAY El AL Iram bub � � ; t. ��' �,,'
<br /> n`�S�''�':. ,
<br /> .Y�� . . . . . . .. ,,. . .
<br /> :. ' ��� .�9�
<br /> -� .w.. , . . ,
<br /> COPY}•'WMiTE-fILE .1:.� GNEEN�FINANCE. _ • � ��`
<br /> �
<br /> �'�s;�CANAR���CTOR GOLO�-HECEIV'r -.: :.-� ��;`'' t ..`-u/ ..�
<br /> "..� E e�^..:.� � ��. ,AOPov� :er Wel
<br /> ,...,��!-,e•�r �raz.r aa�:aw',%�,tvSw�.
<br />
|