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APPLICATION FOR BUILDING PERMIT <br />AND CERTIFICATE OF OCCUPANCY <br />VILLAGE OF ORONO, MINNESOTA <br />DIRECTIONS: <br />SPACES Nl1M8ERED 1 THRU 13 MUST BE FILLED IN <br />BEFORE PERMIT IS ISSUED (Please Print or Type) <br />PERMIT NO <br />N G 2662 <br />1 SITE ADDRESS <br />- A4 <br />7 DATE <br />-f <br />3X;EGL DESCR TION/�J PLAT <br />NUMBER PARCEL NUMBER V 3 C <br />4. OWNER (Name) <br />7')',�W <br />(Address) ITeI. No <br />S ARCHITECT INamel <br />(Add,ess) (Tel No l <br />o BUILDER INamel <br />IAddressl (Tel No.I <br />7 TYPE OF WORE <br />PA I <br />!. SIZE OF STRU TUBE <br />IHeightl (Width) IDepthl <br />9. NO. OF STORIES <br />/ <br />10. ESTJMI�TED COST <br />/a, �/- <br />v D <br />11, COMPLETION DATE <br />12. PROPERTY DIMENSIONS <br />0 NO. OF FAMILIES IN Applicable) <br />11. TYPE OF CONSTRUCTION <br />15 PROPERTY AREA <br />SO FT <br />16. LOST AREA PER FAMILY <br />ISO. FT <br />17. FRONT YARD <br />18 REAR YARD <br />19. SIDE YARDS <br />ACKNOWLEDGEMENT AND SIGNATURE: <br />The undersigned hereby represents upon ail 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 />CA, <br />SIGNATURE APPROVEO <br />PERMIT FEE •5-O <br />STATE FEE �• tl <br />PENALTY 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 />n <br />FOOTING <br />C->L J- <br />FRAMING -"• q <br />/0 r8•� l <br />a• �4& l <br />2� Lp <br />FINAL D Cc-4 <br />• � 5 11 � <br />CERTIFICATE OF OCCUPANCY ISSUED <br />DATE BY <br />