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APPLICATION FOR BUILDING PERMIT <br />AND CERTIFICATE OF OCCUPANCY <br />VILLAGE OF ORONO, MINNESOTA <br />DIRECTIONS: <br />SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN <br />BEFORE PERMIT IS ISSUED (Please Print or Type) <br />1 SITE ADDRESS _ <br />3 LEGAL DESCRIPTION <br />4 OWNER <br />t.� <br />5. ARCHITECI <br />6 BUILDER <br />7 TYPE OF WORK <br />8 SIZE OF STRUCTURE <br />(Height) (Width) <br />11 COMPLETION GATE <br />PERMIT NO <br />N� <br />2. DATE <br />PLAT NUMBER PARCEL NUMBER <br />(Name) (Address) <br />(Name) <br />(Name) <br />(Depth) <br />- �. <br />(Address) <br />(Address) <br />9. NO. 4W STORIES <br />12 PROPERTY DIMENSIONS <br />14 TYPE OF CONSTRUCTION 15 PROPERTY AREA <br />l SD FT - _ 117 FRONT YARD 18 REAR YARD <br />2766 <br />( Tel Nu I <br />4173 _ � ) f� <br />(Tel. No <br />(Tel. No. <br />10. ESTIMATED COST <br />13. NO. OF FAMILIES (lf Applicable) <br />16 LOST AREA PER FAMILY <br />SO F T <br />19 SIDE YARDS <br />ACKNOWLEDGEMENT AND SIGNATURE: <br />The undersigned hereby represents upon all of the penalties of <br />law, for the purpose of inducing the ILLAGE OF ORONO to take <br />the action herein requested, that all statements herein are true <br />and that all work herein mentioned will be done In accordance with <br />the ordinance of the VILLAGE OF ORONO, the State of Minnesota, <br />and rulings of the Building Departmvnt <br />SIGNATURE APPROVED <br />PERMIT FEE Z, <br />I <br />STATE FEE � I <br />PENAL- TY FEE <br />TOTAL FEE t - O <br />1 <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 />F INAL <br />CERTIFICATE OF OCCUPANCY Igk*D <br />DATE <br />13Y <br />