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APPLICATION FOR BUILDING PERMIT <br />AND CERTIFICATE OF OCCUPANCY <br />VILLAGE OF ORONO, MINNESOTA <br />D I R E C T IONS <br />SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN <br />BEFORE PERMIT IS ISSUED (Please Print or TypA) <br />1 SITE ADDRESS <br />•`"'}�� 3205 <br />Z. DATE <br />3 CA lr* CCI C 'i P CL 6 <br />3 LEGAL DESCRIPTION <br />PLAT NUMBER PARCEL NUMBER <br />4 OWNER (Name! (Address) (Tel. No.) <br />5 ARCHITECT f (Name) (Address) (Tel No <br />6 BUILDER (Name) (Address) (Tel. No ) <br />REE./&' � �= K 328'0 161XrK.C7A4-V -9475-- /5-e 4 <br />7 TYPE OF WORK <br />8 SIZE OF STRUCTURE <br />(Heel) (Width) <br />it COMPLETION DATE <br />1 10;011 <br />���' S _ <br />9 NO. OF STORIES <br />Depth) <br />14 TYPE OF CONSTRUCTION <br />17 FRONT YARD <br />12 PROPERTY DIMENSIONS <br />15 PROPERTY AREA <br />SO F T _ <br />18 REAR YARD <br />%76Jf rc! F <br />10. ESTIMATED COST <br />d4 o 1I(V e <br />13. NO. OF FAMILIES (I1 Appy(-abls1 <br />16 LOST AREA PER FAMILY <br />50 FT. <br />19 SIDE YARDS <br />l <br />ACKNOWLEDGEMENT AND SIGNATURE: <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 />�If11ilA <br />TURA PROVED <br />sA c ?moo, e7 6 <br />PERMIT FEE �00 <br />STATE FEE Z?# CVC9 <br />TOTAL FEE <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 />F RAMING <br />F INAL <br />CERTIFICATE OF OC C UP ANC Y tSSUE D <br />DATE <br />By <br />