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APPLICATION FOR BUILDING PERMIT PERMIT FEE <br /> r y <br /> AND CERTIFICATE OF OCCUPANCY PLAN CHECK FEE <br /> I <br /> VILLAGE OF ORONO, MINNESOTA PENALTY FEE <br /> DIRECTIONS: PERMIT NUMBER TOTAL FEE <br /> YYSPACES NUMBERED 1 THRU 13 MUST BE FILLED IN <br /> BEFORE PERMIT IS ISSUED(Please Print or Type) I ZONING DISTRICT <br /> 1. SITE ADDRESS 12. DATE <br /> . 1 0 — 2 2. - --1 3 <br /> 3. LEGAL DESCRIPTION FIRE ZONE <br /> L p�{- S To. (X k,. •v ; I,? !-�o v ca r <br /> AGGREGATE FLOOR AREA <br /> FLOOR AREA RATIO <br /> PLAT NUMBER PARCEL NUMBER <br /> 4. OWNER (Nome) (Address) (Tel, No.) OFFSTREET PARKING <br /> b(.- k L.•est 3.- <br /> Oik.t�1 itN so-•+-d 7'-1 - +Ji 7 SPACES REQ. <br /> S. ARCHITECT (Nome) r 1..(1..( (Address) (Tel. No.) <br /> C A e L.O 1 <br /> S I. S 4SPACES ON PLAN <br /> 6. BUILDER — — <br /> (Name) (Address) Tel. No.) LOADING BERTHS <br /> 1",,N.Sts ttil. l p+t S Co r to,___ I <br /> 7. TYPE OF WORK <br /> - NUMBER REQ. <br /> NEW CONSTRUCTION X. ALTERATIONS ❑ ADDITION 0 FINISH ATTIC ❑ NUMBER PROVIDED <br /> FINISH BASEMENT 0 PORCH 0 GARAGE 0 REROOF 0 RESIDE 0 MISC. SIZE OF EACH <br /> 8. SIZE OF STRUCTURE 9 NO. OF STORIES ! 10. ESTIMATED COST NUMBER OF OCCUPANTS OR SEATS <br /> (Height) (Width) (Depth) <br /> 1 Z SD s/'✓__ _ I t 7- O O U O p OCCUPANTS _ <br /> 11. COMPLETION DATE i 12. PROPERTY DIMENSIONS 13. NO.OF FAMILIES(If Applicable) <br /> 1 \ 1 LI WIDTH DEPTH 1 SEATS <br /> 14. TYPE OF CONSTRUCTION 115. PROPERTY AREA • 16. LOT AREA PER FAMILY MATERIAL FILED WITH APPLICATION <br /> FIN 'AA..4.. ' SQ. FT. A Lel- S %". 5-0SOIL TESTS 0 <br /> SQ. FT. •4 3 S L O. O <br /> i` 17. FRONT YARD '18. REAR YARD 19. SIDE YARDS PILING LOGS 0 <br /> / ,./. <br /> FT. '7 Q I St b* C l( FT. 7. `1;7 ;5(1)4p FT (2),17/6)FT.ET. (1*2) FT. PLANS&SPECS. 0 SETS <br /> 20. FLOOR AREA APPORTIONMENT <br /> USE. AREA SURVEY 0 COPIES <br /> 5 <br /> --1 F c-n,n r- /,/ : ,/ ---- — <br /> -- — — — SQ. FT. <br /> j•!,•, ,, 1,,J 7 PROPOSED GRADE FOUNDATION <br /> •--__--_2y__ •SQ. FT. IN RELATION TO CURB OR CROWN <br /> OF STREET: <br /> SQ. FT. <br /> AGGREGATE FLOOR AREA <br /> ---. .-- SO. FT. <br /> ACKI\OWLEDGaMMENT AND SIGIVATURE: CERTIFICATE OF OCCUPANCY ISSUED <br /> 7'hc undersigned hereby represents upon all of the penalties of law, for the DATE BY <br /> purpose of inducing the Village of Orono to take.the action herein requested, that — <br /> all statements herein arc true and that all work herein mentioned will be clone in <br /> accordance with the ordinance of the Village of Orono, the State of Minnesota, <br /> and rulings of the Building Department. <br /> SIGNATURE APPROVED <br />