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-----` <br /> ___ <br /> . __.._._ ___ ______ .-- <br /> __--------- - <br /> � _ _ - <br /> , �IKs�� �)(� <br /> �:� /.� /F� <br /> AG�IC�AT��9 F��t G�DOL����� �►�C3C�QT � �QC ,3�5_ <br /> AC:�C�RTO�CtATE OF ��C�PAC��If ta�, c�� �/ <br /> VILLAGE OF OROR�Oi MIC.c..;:JOTA PERMI�FEE ��.ti <br /> nev•.. <br /> STATE fE:_ �I <br /> PENAITY FEE <br /> 010ECTIpqt� oER T 1{Q TOTA�FBE- �.�'7 <br /> lPACES M�EIIED 1 TNRI►13 MN15T BE PILlEO IN �]C A[ <br /> BEFQpE PERkfIT IS I�SU¢D(Plesaa OriM pr T�) �u v����J ZaNING OISTqICT <br /> 1. 61TE ADp:7E$S / 2. OATE <br /> � i1RE 20NE <br /> 7• IEGAL OESCRI►TION � AGGREGATE fL00R MEA <br /> /- PIAT NlNABER 9r���. O pARCEI MJM9ER O�`� FLOOR AqEA RATIp <br /> 1. OINIiEp (N�1 IAddnssl �Td.No.l <br /> �P�� Au A��' �AO // ?� (',� MATERUIFILEWITM <br /> � �-v�v'�/ ��� Gl�(,' �/� <br /> 4. MCNITECT �.,�rn�) (Addr�a�) �Td.Np.) <br /> OFFSTqEET PARKINii4i� <br /> {. BUIlOER IN�nr) <br /> (�ddrMsl (T��.No.1 <br /> ��'7►-L�� <br /> 7. TYPE qF IMOtIK � <br /> COI�YSTNUCTION <br /> �S�C' . G�gi.(►_�� 1 <br /> �. Wa8 Ci STRUCTUaE f. ND.OF sTppIES 10. ESTIMATEO C06T FOpTING <br /> 11bid:tl tWi6�1! IWi1h1 / � � <br /> q� ��� :� <br /> 11. COLipLETipN pA7F • 1�. PpppERTY DIMEhKiIONS 19. N0. MA141ES 11/App6cabl�l <br /> 13. TY�Y OP CONSTqUGT1pN 1S, pqppERTY AREA 18. LQST AREA PEq FAqAJLY <br /> 9U.FT 5�. F1. <br /> 17. FRpHT�ARO 1�. REAR'YARD 19. SIDE YARpg <br /> FRAMO�IG <br /> / • ' <br /> 1 � / <br /> �- <br /> ��1 � � <br /> '� <br /> _ FIPJAL <br /> ACKN?�W9LEDGEI"��NT �ND SOGNATURE: <br /> Tha und�rsig�ned hereby re,pres�nta upon ail 01 1M penalties of <br /> lew, for !ha puryose oi inducinp the VILLACa Q�a.+Q:A to 1�➢c� <br /> th0 action h�rein requasted, that all stotoments herein are true cEeriFic�re oF occuPn,Hcr�o <br /> �nd that all work herei� mentionad will be dane in accordca�ce with <br /> �"' t�a ordinc�ce of the VILIAG� OF Q�Q�9 the S4ata of KJinnesots, <br /> �nd ruli�t�g of the Rtiildinq Qepartment. <br /> �`7 � �;���,:�� <br /> ,`4� " / DATE <br /> t1GF1ATU7E ,' L� BY <br /> v APPf,QSyGD <br /> � <br />