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CITY of ORONO _ _ __ _ <br /> BUIIUIIZg PeY�ml� PERMIT NO. 56"r 1 � <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED� I�"-O � <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT /�O� ���I�l �` <br /> SITE ADDRESS O-7.� �1� p . <br /> PROPERTY IDENTIFICATION NO.(PID) �� —�I�I"' c� �S ��-{ OC7.U� <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OW R ( me) (Address) (Phone) <br /> VAR. DATE 1 <br /> ARCHITEC /EN I ER- Must Certify Multi-Fami , ommerci Industrial Construction Plans <br /> ( ir ) (Address) (Phone) <br /> COND. US DA E <br /> LOT ARE BUILDER (Firm) (Address) /�hone) <br /> ��� <br /> WIDTH DEPTH "� • /`�� � ' <br /> TYPE O W ew Addition Remodel Renovate <br /> PROPO ED TBACKS: ��� � �� �' <br /> FRONT R.SIDE ; / <br /> CONST.TYPE BUI�DING SIZE Estimated Construction Valuation <br /> REAR L. SIDE <br /> L. W. H t. Y�f' / �O �. � <br /> LAKE T <br /> OCCUPANCY PERMITFEES <br /> CLASSIFICATION ¢ <br /> ACCE DWELL. BLDG. PERMIT �U � �� <br /> STORIES B 1 2 3 � — _ <br /> UNITS ST�4TE FEE � <br /> NEW XISTING GAR.STALLS NUMBER OF BEDROOMS �,+ <br /> AGENC PP OV. DATE A� <br /> CITY DET. SEPTIC <br /> APP. DATE SAC CHARGE <br /> COUNTY PROPOSED USE SEWER UNIT <br /> STATE PARK FEE <br /> PENALTY <br /> PRIVATE EASEMENT COUNCIL <br /> APP. DATE OTHER <br /> REMARKS: TOTAL DUE / � /`�� <br /> V <br /> WORK REQUIRING ACKNOWLEDGEMENT <br /> INSPECTION REQUIRED SEPARATE PERMITS <br /> ❑ . . ... . FOOTING before pour THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> ❑ . . ... . FRAMING rough-in PLUMBING ......................... ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECIARES <br /> ❑ . . .. . . INSULATION MECHANICAL....................... ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> ❑ . WALLBOARD before taping ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br /> . .. . . <br /> WELL.............................. <br /> . . .... <br /> FINAL before occupancy ' <br /> . .... . SITE INSPECTION SEPTIC.............................. � MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <br /> WORK BEYOND OR WITHOUT A RE- SEWER.............................. � SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br /> QUIRED INSPECTION WILL BE SUB- P�IANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> JECT TO PENALTY. WA7ER.............................. ❑ <br /> GRADING&FILLING ............... ❑ <br /> OF MINNESOT UILDING QUIREMENTS. <br /> INSPECTIONS MUST BE CALLED-IN � <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ /� G, <br /> Signat te,� J <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT <br /> PINK-ASSESSOR Approved ity of Orono <br /> Brooklyn Prtg•&Adv.Co.Ina (612)561-4470 � <br />