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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 IV <br />BEFORE PERMIT IS ISSUED (Pler.e Print or Type) <br />1 SITE ADDRESS <br />3 LEGAL DESCRIPTION <br />/f'/ (/ `/</ / PLAT NUMBER <br />• OWNER /IN1n II <br />? t <br />5 ARCHITEC', INamel <br />6 BUILDER Name) <br />7 TYPE Oi: WORK <br />---- PERIN 3282 2V <br />2 DATE (� <br />PARCEL NUMBER <br />(Address) (Tel. No.) <br />479-/7l/ <br />(Address) ITO No) <br />(Address) (Tel. No 1 <br />9 SIZE OF STRUCTURE <br />NO OF STORIES <br />10. <br />ESTIMATED COST <br />IHe.y,ll Iwldtnl loeptbl <br />19. <br />✓� ['�[ � <br />it COMPLETION DA -E <br />12 <br />PROPERTY DIMENSIONS <br />13 <br />NO OF FAMILIES III Applicable) <br />14 TYPE OF CONSTRUCTION <br />15 <br />PROPERTY AREA <br />116 <br />LOST AREA PER FAMILY <br />SO. FT <br />SO. <br />FT. <br />17 FRONT YARD <br />19. <br />_ _ <br />REAR YARD <br />19. <br />SIDE YARDS <br />�0 <br />90 <br />70 /30 <br />ACKNOWLEDGEMENT AND SIGI'%TUBE: <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 />SIGNATURE A/►ROVED <br />SAe 35--e7, UU <br />00 <br />PERMIT FEE /33 OO <br />STATE FEE ' AO <br />.CL /N r'/< co o <br />OGd1Ai�3c 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 />FOOTING <br />FRAMING <br />FINAL <br />CERTIFICATE OF OCCUPANCY ISSUED <br />DATE By <br />