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CITY of ORO�O _ _ <br /> Building Permit PERMIT NO. 61H6 � <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED �'������' ��� <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONIN� DISTRICT � j�_ %� �� <br /> � �? _ �� SITE ADDRESS �'��j � � �$_.�--K._ <br /> r� � PROPERTY ID,�NTIFICATION NO.(PIq) ` -- �� � '�� �� <br /> FIRE DEPARTMENT /�-� �" ' <br /> �' /_ LOT � BLOCK �:.� SUBDIVISION ��h'i.��=� C<,�,� <br /> c. <br /> POST OFFICE OWNER (Name) � (Address) (Phone) <br /> �� . �� /.'�-�t..�,�.`� ��t����;��K,� � ���� ����� <br /> VAR. DAT� 3' _r ARCHITECT/ENGINEER- Must Certify Multi-Family,Commercial& Industrial Construction Plans <br /> � '�� ~ � (Firm) (Address) (Phone) <br /> COND. USE DATE �� <br /> LOT AREA � ��j � BUILDER ' �irm) (Address� (Phone) <br /> --�t r ., <br /> , � ..C� ��1,,�'�<_ C<C�-�-,,-�. `'' C'� --.�� � �° ��7�� '��'�: <br /> � � -`-� .�.� <br /> WIDTH,�--� DEPTH �.f.- - <br /> �� _ � �� � TYPE OF WORK ew J _ dditi Remodel Renovate <br /> PROPOSED SETBACKS: / � yr � � '�� 43 ' ` ��� f'� � <br /> FRONT R. SIDE � �C.��- / � � � `� ' � '7/�' � <br /> � CONST.TYPE B' LDING SIZE Estimated Cons ction Valuation � <br /> REAR L SIDE ! �_/ <br /> + / /��i �-- �✓"/� _ -� � �.; -�/ / f/ � --� --'� <br /> L. � I � � W. �� (�- �� Ht. �;'� ��/ ( � � <br /> LAKE WETLANDS <br /> `- OCCUPANCY PERMIT FE� <br /> �� LC CLASSIFICATION �� ' <br /> ACCESS DWELL STORIES g � 2 3 BLDG. PERMIT �''� <br /> UNITS STATE FEE � � �r` <br /> EXISTING GAR.STAL�S NUMBER OF BEDROOMS <br /> E Y-APPROV. DATE ATT. PLAN REVIEW � <br /> CI DET. SEPTIC <br /> APP. DATE SAC CHARGE <br /> COUNTY PROPOSED USE SEWER UNIT <br /> STATE PARK FEE <br /> / `F7 4� <br /> PENALTY <br /> PRIVATE EASEMENT COUNCIL / <br /> APP. DATE OTHER <br /> �'/ TOTAL DUE ��`�e� �� <br /> REMARKS: l. � � / �'� � - <br /> �rv� . �� <br /> Q►��T C'�� - C�_ �E�. �� �(1 <br /> INSPECTION REQUIRED <br /> WORK REQUIRING ACKNOWLEDGEMENT <br /> SEPARATE PERMITS <br /> . . . . . FOOTING before pour THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> . . . . . . FRAMING rough-in PLUMBING ......................... ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES <br /> . . . . . . INSULATION MECHANICAL....................... ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> . . . . . . <br /> WALLBOARD before taping ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br /> . . . . . . FINAL before occupancy <br /> WELL............................... <br /> ❑ . . . . . . SITE INSPECTION SEPTIC.............................. � MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <br /> WORK BEYOND OR WITHOUT A RE- SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br /> SEW ER.............................. s <br /> QUIRED INSPECTION WILL BE SUB- PLIANCE WITH ALL ITY-'OF OR , O O DI'ANCES AND STATE <br /> JECT TO PENALTY. WATER.............................. ❑ � <br /> ��.� - <br /> OF MINNESOTAy 1 G EQUI ENTS. <br /> INSPECTIONS MUST BE CALLED-IN GRADING 8 FILLING ............... ❑ � / ,� <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ , j l�. ' <br /> Signature L Dat2���1-�2�--�-+'� <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT �} � i <br /> PINK-ASSESSOR Approved ` v`L y of Orono <br /> Brooklyn Prtg.&Adv.Co.Inc. (612)561-4470 �� <br />