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APPLICATION FOR BUILDING PERMIT <br />AND CERTIFICATE OF OCCUPANCY <br />VILLAGE OF ORONO, MINNESOTA <br />OMECTIOIIS: PER T <br />SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN 3323 <br />BEFORE PERMIT IS ISSUED IPlesse Print or Tvoel <br />1 <br />SITE ADDRESS <br />2 DATE <br />/ 1 <br />��11 <br />-Ave- <br />% <br />d <br />! / <br />3. <br />LEGAL DESCRIPTION <br />PLAT NUMBER 4,7510 PARCEL NUMBER <br />4. <br />OWNER (Namq <br />(Address) ITel No.) <br />j <br />=4nnle I" <br />S <br />ARCHITECT (Name) <br />IAddrese.) (Tel No.l <br />a <br />BUILDER (Name) <br />(Address) (Tel No.) <br />5 <br />7. <br />TYPE OF WON <br />I. <br />SIZE OF TRUCTURE <br />S NO. OF STORIES <br />10. ESTIMATED COST <br />(He80t) IW.dlh) <br />IDepel) <br />/D A* <br />q <br />11. <br />COMPLETION DATE <br />12 PROPERTY DIMENSIONS <br />13. NO, FAMILIES III Applycable) <br />la. TYPE OF COIa5TRUUTRJN 115, PROPERTY AREA <br />�o. �w� nnc� rcn rwwn�� <br />17. FRONT YARD I to REAR YARD 119. SIDE YARDS <br />I Or <br />ACKNOWLEDGEMENT AND SIGNATURE - <br />The undersigned hereby represents upon all of the penalties if <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 /LI the Building Department. <br />/ �1 < <br />SIGNATURE VROV <br />SA'C Sormo <br />PERMIT FEE /,,;- !, O A <br />STATE FEE AO' eel <br />Pc Cf< <br />PAI M11C F E E <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 />FOOTING <br />FRAMING <br />FINAL <br />CERTIFICATE OF OCCUPANCY ISSUED <br />DATE BY <br />