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APPLICATION FOR BUILDING PERMIT <br />AND CERTIFICATE OF OCCUPANCY <br />VILLAGE OF ORONO, MINNESOTA <br />DIRECTIONS: PERMIT NO. <br />SPACES NUMBERED 1 THRU 13 MUST BE r,LLED IN Q 2841 A 4 1 'I <br />BEFORE PERMIT IS ISSUED (Please Print or Tvoel o <br />1 <br />SITE ADDREP <br />< <br /><a�L T- 14 <br />DATE <br />3. <br />L AL 0 SCR TION <br />itd <br />PLAT NUMBER ^T' () PARCEL <br />NUMBER <br />4 <br />OWNER <br />Name) (Address) <br />J� I,, -- <br />(Tel. No 1 <br />>` <br />5. <br />ARCHITECI <br />ame)(Address) <br />(Tel No.) <br />6 <br />BUILDER <br />(Nam 1 1f ^ (Address) <br />(Tel No 1 <br />7 <br />TYPE OF WORK <br />AA <br />8. <br />SIZE OF STRUCTURE <br />9 NO OF STORIES <br />10. ESTIMATE p COST <br />(Hei¢hU (Width) <br />(Depth) <br />c, /v <br />11. <br />COMPLETION DATE <br />12 PROPERTY DIMENS.ONS <br />13. NO. OFFAMILIES (If Applicable) <br />14. TYPE OF CONSTRUCTION 15. PROPERTY AREA 1b LOST AREA PER FAMILY <br />I <br />SO FT SO. FT <br />�17 FRONT YARD 1 18 REAR YARD 119 SIDE YARDS <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 />Z�1�"Co - <br />SIGNATURE AP E <br />PERMIT FEE // - "5 Cl <br />STATE FEE <br />TOTAL FEE <br />ZONING DISTRICT <br />7 <br />FIRE ZONE L <br />AGGREGATE FLOOR ARP <br />FLOOR AREA RATIO <br />MATERIAL FILE WITH <br />OFFSTREETPARKING <br />CONSTRUCTION <br />FOOTING <br />FRAMING <br />FINAL <br />CERTIFICATE OF OCCUPANCY ISSUED <br />DATE <br />i. `r <br />