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APPLICATION FOR BUILDING PERMIT <br />AND CERTIFICATE OF OCCUPANCY <br />VILLAGE OF ORONO, MINNESOTA <br />DIRECTIONS: <br />SPACES NUMBERED 1 THRU 13MUST BE FILLED IN <br />BEFORE PERMIT IS isauFn MI.— P-4 — T-1 <br />PERb11J2 3582 <br />1 SITE ADDRESS <br />W <br />f�R v l Cvv <br />2. DATE <br />71-.28 - 77 <br />3 LEGAL BDRIPTION <br />-7 <br />Q Z <br />PLAT NUMBER S/22-Z <br />PARCEL NUMBER go 0 () <br />4. GWNER I <br />N► Q �Nas <br />(Namel <br />(Address) (Tel. No.) <br />13cA c � oA r �e y� <br />la RR M <br />5. ARCHITECT <br />(Name) <br />(Andress) (Tel. No.) <br />9. BUILDER <br />(Name) <br />(Address) (Tel. No.) <br />I90 <br />Hess Pf R s <br />7. TYPE OF WORK <br />l. SIZE OF STRUCTURE <br />9. NO. OF STORIES <br />10. ESTIMATED COST <br />41,161 11) (Widen) <br />1 th <br />11 ,5X0U <br />11. COMPLETION DATE <br />12. PROPERTY DIMENSIONS <br />13. NO, OF FAMILIES Ili Aphcoble) <br />12-r— T7 <br />2 QC <br />�•. I,rc K 1.1llea I R%P-i ILM 15. FKUFtK1T ANEA 1 1e, LIAI AKtA r[N FAMILY <br />50. FT 90. FT. <br />17. FRONT YARD 19 REAR YARD 119. SIDE YARDS <br />o 17114 LAGIYI e—v' lv%t0v1 <br />V► Irv► ti + is LLoLu E D ay-, [1 <br />I)Efj C%EOC 1 E .S wt 0S 4 be Correc-iETj <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 APPROVEI( / <br />PLAN C k — /578'. <br />.AC - 375 <br />PERMIT FEE Ca 17,1 <br />STATE FEE S"7, 10 <br />PENALTY FEE 11110 <br />TOTAL FEE _ 10 Z 7 . 00 <br />ZONING DISTRICT <br />FIRE ZONE <br />AGGREGATE FLOOR AREA <br />FLOOR AREA RATK) <br />MATERIAL FILE WITH <br />OFFSTREET PARKING <br />CONSTRUCTION <br />FOOTING <br />FRAMING <br />F INAL <br />CERTIFICATE OF Cti;CUPANCY ISSUED <br />DATE BY <br />