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APPLICATION FOR BUILDING PERMIT <br />AND CERTIFICATE OF OCCUPANCY <br />VILLAGE OF ORONO, MINNESOTA <br />DIRECTIONS: <br />PERMIT NO <br />SPACES NUMBERED I THRU 13 MUST BE FILLED IN <br />�i 0 <br />BEFORE PERMIT IS ISSUED (Pies%@ Pant or Type) <br />L <br />1 SITE ADDpESS2 <br />DATE <br />3EL DESCRIPTION _ <br />�i <br />� PLA UMBER <br />,yyNER <br />M <br />PARCEL NUBER <br />(Name)___._ <br />4 OWNER <br />(Address) (Tel. Nol <br />5 ARCHITECT (Name) <br />(Address) (Tel, No.) <br />6 BUILDER. IName) (Address) (Tel. No I <br />W� --- <br />7 TYPE OF WORK <br />�/lti/ l/L e_A_, <br />0 SIZE OF STRUCTURE 9 NO OF STORIES <br />(He.dH) (W�oI (Depth) <br />11 COMPLETION DATE 12 PROPERTY DIMENSIONS <br />14 TYPE 1 TRUCTION 15 PROPERTY AREA <br />t'4— SO F T t)C 4) <br />17 FRONT YARD 10 REAR YARD <br />10. ESTIMATED COST <br />�� 07 O C r <br />13. NO OF FAMILIES 111 Applicable) <br />16 LOST AREA PER FAMILY <br />SO FT <br />19 SIDE YARDS <br />r ! Cbrn ✓e' 4/ <br />flit <br />I <br />ACKNOWLEDGEMENT AND SIGNATURE: <br />rhe undersigned hereby represents upon all of the penalties of <br />law, for the purpose of Inducing the VILLAGE OF ORONO to take <br />tte action herein requested, that all statements herein are true <br />and that all work r =r ell: ir-ntloned will be done in accordance with <br />the ordinance of the VILLAGE OF ORONO, the State of Minnesota, <br />and rulings of the Bulldlnq Department. <br />c � <br />SIGNATURE A►►ROVE ' <br />r— '--1 <br />OERMIT FEE //, J <br />STATE FEE /6 -- <br />PENALTY <br />6PENALTY FEE <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 />FRAMING a I o ai l TD <br />��- 4'o <br />FINAL <br />CERTIFICATE OF OCCUPANCY ISSUED <br />DATF BY <br />