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APPLICATION FOR BUILDING P!RMR <br />AND CERTIFICATE OF OCCUPANCY <br />VILLAGE OF ORONO, MINNESOTA <br />51;e- a/o <br />PERMIT FEE % % 610 <br />STATE FEE 2L'. 20 <br />PENALTY FEE /' <br />TOTAL FEE A 3 �U <br />DIRECTICIIS: <br />SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN <br />BEFORE PERMIT IS ISSUED (Please Print or TWO <br />PERMIT NO. <br />N 0 2765 <br />ZONING DIS ICT 1 <br />_ /C , <br />1 SITE ADDRESS <br />oa al <br />2. DATE <br />FIRE ZONE <br />3.l LE L DESCRIP /) / <br />L.O PLAT NUMBER is 6 PARCEL NUMBER (. (., <br />AGGREGATE FLOOR AREA <br />FLOOR AREA RATK) <br />♦. OWNER (Name) (Address) (Tel. No.) <br />iAti d <br />MATERIAL FILE WITH <br />S. ARCHITECT INsme) (Addressl (Tel. No.) <br />Aox <br />OFFSTREET PARKING <br />G. BUILDER (Name) (Address) (Tel, No.) <br />7. PE OF WORK <br />CONSTRUCTION <br />FOOTING a <br />FRAMING Jl.. <br />FINAL <br />C <br />I <br />a. SIZE OF STRUCTURE ,1� <br />n�NI IJ w Y ,1 <br />9. NOOF STORIES <br />10. EESSTIMA,T/ED%11COST <br />/ L' 7 v 1 <br />11�IH <br />ETIOIN DATE <br />12. PROPERTY DIMENSIONS <br />13. NO dFFAMILIES (11 AppliceDle) <br />U TYPI OF CONSTRUtTION <br />15. PROPERTY AREA A <br />/ <br />90. FT i L) -5 AG <br />16. LOST AREA PER FAMILY <br />90, FT. <br />17. FRONT YARD <br />10. REAR YARD <br />19. SIDE YARDS <br />0� <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 CERTIFICATE OF OCCUPANCY ISSUED <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 or nsnce of the VILLAGE OF ORONO, the State of Minnesota, <br />and fings of the Building Departme <br />DATE �-7� BY J <br />SIGNATURE I A/ OVED <br />