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APPLICATION FOR BUILDING PERMR <br />AND CERTIFICATE OF OCCUPANCY <br />VILLAGE OF ORONO, MINNESOTA <br />DIRECTIONS: <br />SPACES NUMBERED 1 TNRU 13 MUST BE <br />FILLED IN <br />, . <br />PERFlSITN <br />� <br />2 816 <br />BEFORE PERMIT IS ISSUED (Please Print or Type) <br />1 SITE ADDRESS <br />2. DATE <br />ik�j <br />Ole <br />/-I- <br />3. LE L DESCR TION <br />PLAT <br />- /^ <br />NUMBER L3oO <br />PARCEL NUMBER <br />• OWNERINamal <br />/ <br />(Address) <br />(Tel No 1 <br />I <br />ellijr <br />S ARCHITECT IName) <br />(Addressl <br />(Tel No) <br />S BUILDER <br />7 TYPE OF WORK <br />i <br />(Tel No I <br />PERMIT FEE ' ) <br />STATE FEE • s0 `' <br />PE"ALTY FEE <br />TOTAL FEE <br />ZONING DISTRICT /'D <br />FIRE ZONE <br />M• <br />AGGREGATE FLOOR AREA <br />FLOOR AREA RATIO <br />MATERIAL FILE WITH <br />OFFSTREET <br />a SIZE OF STRUCTURE NO OF STORIES 10. ESTIMATED COST FOOTING <br />("941m) (Width) 1136 l <br />11 COMPLETION DATE 1T PROPERTY DIMENSIONS 13 NO OF FAMILIES (II Apphcis <br />14 TYPE OF CONSTRUCTION 15 PROPERTY AREA 16 LOST #.REA PER FAMILY <br />17 FRONT YARD <br />to REAR YARD <br />ACKNOWLEDGEMENT AND SIGNATURE: <br />YARDS <br />The undersigned hereby represents upon all of the penalties of <br />law, for the purpose of Inducing the VILLAGE 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 Department. <br />bit kli— <br />SIGNATURE APPROVED <br />FRAMING <br />F INAI <br />CERTIFICATE OF OCCUPANCY ISSUED <br />UATE <br />BY <br />