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AMICATION FOR BUILDING PERMIT <br />AND CERTIFICATE OF OCCUPANCY <br />VILLAGE OF ORONO, MINNESOTA <br />BRMCTION& <br />/ACES NUMKRED 1 THRU 13 MUST BE FILLED IN <br />BEFORE PERMIT 4 I UED (Please Print or T"wj <br />1 SITE ADORES <br />_�//53 E1m d' if <br />LEGAL DE IPTION <br />1y) 4LAT NUMBER � <br />4. OWNER _ (Nsme1 --4 <br />S. ARCHITEC <br />6 BUILDER <br />7. TYPE OF WORK <br />a. SIZE OF STRUCTURI <br />IHeiyd) (widr,) <br />11. COMPLETION DATE <br />11. TYPE OF <br />SANSTRUCTION <br />17. FRONT YARD <br />PERMIT NO. <br />N° 2631 <br />2. DATE <br />3- /n— %1, <br />`' 0 PARCEL NUMBER <br />(Address) Il <br />(Address) ITeI. No.) <br />(Address) (Tel. No.) <br />!. NO. OF STORIES <br />IDsPed D <br />q/. <br />12. PROPERTY DIMENSIONS <br />15. PROPERTY AREA <br />30. FT <br />1a. REAR YARD <br />d <br />u nil, hhl-Au <br />10. ESTIMATED COST <br />3p,00 -o <br />13. NO. OF FAMILIES III <br />14. LOST AREA PER FAMILY <br />90. FT. <br />16. SIDE YARDS <br />-7 <br />ACKNOWLEDGEMENT AND SIGNATURE: <br />The undersigrwd hereby represents upon all of the pamities of <br />law, for the purpose of inducing the VILLAGE OF OMM 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 Minner, <br />gs of the Building Depart 7t. <br />Sld A►►MOVED <br />PERMIT FEE <br />STATE FEE `' Q <br />PENALTY FEE <br />TOTAL FEE <br />ZONING DISTRICT <br />FIRE ZONE 11E <br />AGGREGATE FL� <br />FLOOR AREA RATIO <br />MATERIAL FILE WITH <br />OFFSTREET PARKING <br />CONSTRUCTION( <br />FOOTING <br />FRAMING -f. f10 / <br />wo <br />FINAL <br />CERTIFICATE OF OCCUPANCY IMMO <br />DATE"/C- "Y <br />r <br />