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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 13E FILLED IN Q <br />BEFORE PERMIT IS ISSUED (Please Print or Typal <br />1 SITE ADDRESS 2IT E <br />3. LEGAL DESCRIPTION <br />PLAT WAGER 7 D PARCEL NUMBER Q <br />It <br />•. OWNER n (Name) (Address) <br />"JL / d <br />S. ARCHITECT <br />(Address) <br />PERMIT FEE O `� <br />STATE FEE + r Z <br />TOTAL F E 13 S S a <br />2630 ZONING DISTRI C <br />FIREZONE <br />AGGREGATE F}OAOR /1 <br />FLOOR AREA RATIO <br />(Tel NO) <br />MATERIAL FILE WITH <br />OFFSTREET <br />6. BUILDER INeme) <br />JQ �� <br />(Address) (Tel. No.) <br />7. TYPE OF WOIIIQ /► <br />CONSTRUCTION <br />FOOTING— <br />11 —� <br />FRAMING <br />Ailo <br />!f•�� <br />/ <br />r� <br />I. SIZE OF STRUCTURE <br />� <br />9. NO. OF STORIES /� <br />/1� <br />10. ESTIMATED COST <br />11. COMPLETION DATE <br />12. PROPERTY DIMENSIONS <br />13. NO. CWFAMILIES (If A)Plicable) <br />14. TYPE OF CONSTRUCTION <br />15. PROPERTY AREA <br />S0, FT <br />16, LOST AREA PER FAMILY <br />SO. FT. <br />17. FRONT YARD <br />/6. REAR YARD <br />19. SIDE YARDS <br />G I © Q T10'r/11 = f Si P_ <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 />5�h- & � �,�&A,, <br />SIGNATURE APPROVED <br />FINAL <br />1� �rr Q ✓�y " ,n � .P �1 <br />CERTIFICATE OF OCCUPANCY ISSUED <br />DATE yQ •'/BY . d� <br />