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AMATION FOR BUILDING PERM <br />AND CERTIFICATE OF OCCUPANCY <br />VILLAGE OF ORONO, MINNESOTA <br />DIRECTIONS: <br />SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN <br />BEFORE PERMIT IS ISSUED (Please Print or Type) <br />1 SITE ADDR <br />/ <br />3 GAL OESCRIPTI <br />PLAT NUMBER l• <br />1. OWNE� <br />( <br />rife--'Na) <br />e 0% In a- <br />5 ARCHITECT <br />(Name) <br />6 BUILDER <br />(Namel <br />�o01)�P'7-,1 <br />-Ar'• <br />7. TYPE OF WORK <br />J ' <br />PERMIT NO <br />N° 2679 <br />2 DATE <br />7- •7 - 7 v <br />QA&A.RCEL NUMBER <br />(Address) <br />ITeI. Not <br />(Address) <br />(Tel No.I <br />lA—ddress) <br />' '"v& <br />,tn (Tel No 1 <br />'t7j/u", <br />!. SIZE OF STRUCTURE 9. NO OF STORIES <br />(Height) (Width) I th) O <br />t/ <br />ill. COMPLETION DATE 12. f ROPERTY DIMENSIONS <br />11_ TYPE OF CONSTRUCTION 15. PROPERTY AREA <br />_ SO FT <br />17. FRONT YARD 1 18 REAR YARD <br />10. ESTIMATEU COST <br />ge9 4000 <br />13 NO, OF FAMILIES (1f Applicable) <br />16. LOST AREA PER FAMILY <br />SO FT <br />19. 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 />nd rulings of the Building Department. <br />SIGNATURE APPROVED <br />PERMIT FEE /v " <br />STATE FEE (.� • C- i� <br />PENALTY FEE / C <br />TOTAL FEE <br />ZONING DISTRICT <br />Ca / lam' <br />FIRE ZONE A <br />AGGREGATE FLOOR AREA <br />FLOOR AREA RATIO <br />MATERIAL FILE WITH <br />OFFSTREET PARKING <br />VST R UC T I ON <br />'DOTING <br />FRAMING <br />FINAL <br />CERTIFICATE OF OCCUPANCY ISSUED <br />DATE �- �/,.�� BY . <br />