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APPliariON FOR BUILDING PERNUT <br />AND aUTIFKATE OF OCCUPANQ <br />VIUAOE OF ORONO, MINNESOTA <br />DIRECTIONS: <br />SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN <br />BEFORE PERMIT IS ISSUED (Ple»s« Pnnl or Typo) <br />1 SITE ADDRESSDDRESS . ^ <br />^^egal ^scr Tption ^Q <br />PERMIm 2628 <br />PERMIT FEE <br />STATE FEE _ <br />V ^ ■ 3/JT c <br />PENALTY FEE, <br />TOTAL FEE___r h O <br />ZONING DISTRICT <br />.^TE <br />^ -^''7'7 <br />PLAT NUMBER PARCEL NUMBER <br />4. OWNER (Namol <br />€. 4 fl fOo / r <br />(Address) <br />S. ARCHITECT (Name)(Address) <br />(Tel No.) <br />(Tel. No.) <br />6. BUILDER (Njjne <br />Oa <br />(Address)(Tel No ) <br />a vr\ ^ <br />1. TYPE OF WORK^ <br />Ke.6 <br />8. SIZE OF STRUCTURE <br />(HeigM) (Tb <br />11. COMPLETION DATE <br />14. TYPE OF CONSTRUCTION <br />17. FRONT YARD <br />9. NO. OF STORIES <br />/- LU O <br />12. PROPERTY DIMENSIONS <br />15. PROPERTY AREA <br />SO FT <br />18 REAR YARD <br />10 E^IMATEDCOST <br />CO o <br />13. 1^ OF FAMILIES (If Applicable) <br />16. LOST AREA FiR 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 />and rulings of the Building Department. <br />SIGNATURE <br />uMj<' <br />£i o <br />FIRE ZONE <br />AGGREGATE FLOOR AREA <br />FLOOR AREA RATIO <br />MATERIAL FILE WITH <br />OFFSTREET PARKING <br />CONSTRUCTION <br />FOOTING.V 3- -■7-i <br />c & <br />A- <br />FRAMING / A4>C <br />A'ljo <br />P. <br />( <br />FINAL <br />CERTIFICATE OF OCCUPANCY ISSUED <br />DATE <br />APPROVED