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t ^rr <br />I ir <br />I application for building pirmit <br />AND CERTIFKATE OF OCCUPANCY <br />VILLAGE OF ORONO, MINNESOTA <br />IICTKMS <br />ACC$NW«es«EO I THRU IJ MUST BE F1LLC3 IN <br />^ggC^RCRMIT IS ISSUED (Plrtit Print or Typol <br />SITE ADDRESS <br />LEGAL DESCRIRTICN <br />PLAT NUMBER <br />DWNER (NamtJ <br />*1oLk AJ^' <br />(AdOrtif)ITcl. No I <br />ARCHITECT CNamt)fAGdPott)(Ttl No ) <br />8UM.0EM (NAmt)(Addr»t%)(Ttl. No.l <br />TYPE OF WORK <br />yZE OP STRUCTURE <br />Hoi^tl IWidtttI y lOopItil <br />--------------- <br />COMPLETION DATE <br />TYPE OF CONSTRUCTION <br />'RONT YARD <br />- FKUL <br />» NO OF STORIES <br />let- <br />;S f I 10 ESTIMATED COST <br />12 PROPERTY DIMENSIONS <br />1$ PROPERTY AREA <br />SO FT <br />ir. REAR YARD <br />ESTIMATED COST <br />13 NO Of families (If Appl.cabUl <br />16 LOST AREA PER FAMILY <br />SO FT <br />c^ Ac*>P <br />ACKNOWLEDGEMENT AND SIGNATURE: <br />Th# undersigned hereby represents upon all of the penalties of <br />law, for the purpose of inducing the VILLAGE OF 0R0F40 to take <br />the action herein requested, that all sialcrntnls herein are true <br />and that all work harcin nrentioned will be done in accordance with <br />the ordinance of the VILLAGE OF ORONO, the State of Minnesota, <br />d rulings of the Buildwg Department. <br />I?' <br />PERMIT FEE ^ <9 <br />STATE FEE <br />penalty fee____ <br />TOTAL F£E__*2^^ <br />zoning district <br />fire zone <br />aggregate floor area <br />FLOOR AREA RATIO <br />material file WITH <br />OFFSTREET PARKING <br />CONSTRUCTION <br />FOOTING__ <br />FRAMING <br />Final <br />CERTIFICATE OF OCCUPANCY ISUEO <br />j date