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% <br />I <br />APPIICATION FOR BUILDING PERMIT <br />AND aRTIFiaTE OF OCCUPANQ <br />VILLAGE OE ORONO, MINNESOTA <br />SAC <br />JIKEC. <br />SPACES rAJMSEREO 1 THRU 13 MUST BE FILLED IN <br />BEFORE PERMIT IS ISSUED (Pleas* Print or Type) <br />1 SITE ADDRESS <br />3 LEGAL DESCRIPTION <br />PER W 3377 <br />PERMIT FEE <br />STATE FEE <br />PL CK <br />Y FEE <br />TOTAL FEE C.tD<'-Oo <br />ZONING DISTRICT <br />2 DATE <br />f- /?- 7^ <br />4. OWNER (N«m«) <br />PLAT NUMBER ^ ^ PARCEL NUMBER ^ <br />L _(Addresf)(Tel No ) <br />5. ARCHITECT (Name)(Addrett)(Tel No ) <br />6. BUILDER^ (Name) yf /Address)(Tel No ) <br />7 TYPE OF f <br />«. SIZE 0# STRUCTURE 9. NO. OF <br />(Hei^O (Width) (Depth) <br />____SS._^ <br />11. COMPLETION DATE <br />14 TYPE OF CONSTRUCTION <br />17 FRONT Yard <br />s^-ff <br />OF STORIES <br />12 PROPERTY DIMENSIONS <br />15 PROPERTY AREA <br />SO FT <br />ia REAR YARD <br />10. ESTIMATED COST <br />13. NO. OF FAMILIES (If Applicable) <br />FIRE ZONE <br />AGGREGATE FL(X)R AREA <br />FLOOR AREA RATIO <br />MATERIAL FILE WITH <br />OFFSTREET P:a RICING <br />CONSTRUCTION <br />FOOTING <br />16 LOST AREA PER FAMILY <br />SO FT <br />19 SIDE YARuS <br />ACKNOWLEDGEMENT AND SIGNATURE <br />The undersigned hereby represents upon alt 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 />FRAMING <br />FINAL <br />ia <br />•-’c <br />■’pi <br />CERTIFICATE OF OCCLtf>ANCY ISSUED <br />DATE